Outcomes of endoscopic retrograde cholangiopancreatography-guided gallbladder drainage compared to percutaneous cholecystostomy in acute cholecystitis.
Publication/Presentation Date
2-28-2023
Abstract
BACKGROUNDS/AIMS: Endoscopic retrograde cholangiopancreatography-guided gallbladder drainage (ERGD) is an alternative to percutaneous cholecystostomy (PTC) for hospitalized acute cholecystitis (AC) patients.
METHODS: We retrospectively analyzed propensity score matched (PSM) AC hospitalizations using the National Inpatient Sample database between 2016 and 2019 to compare the outcomes of ERGD and PTC.
RESULTS: After PSM, there were 3,360 AC hospitalizations, with 48.8% undergoing PTC and 51.2% undergoing ERGD. There was no difference in median length of stay between the PTC and ERGD cohorts (
CONCLUSIONS: ERGD is a safer alternative to PTC in patients with AC. The risk complications are lower in ERGD compared to PTC but no difference exists based on mortality or conversion to open cholecystectomy.
Volume
27
Issue
1
First Page
56
Last Page
62
ISSN
2508-5859
Published In/Presented At
Ali, H., Shamoon, S., Bolick, N. L., Manickam, S., Sattar, U., Poola, S., & Mudireddy, P. (2023). Outcomes of endoscopic retrograde cholangiopancreatography-guided gallbladder drainage compared to percutaneous cholecystostomy in acute cholecystitis. Annals of hepato-biliary-pancreatic surgery, 27(1), 56–62. https://doi.org/10.14701/ahbps.22-065
PubMedID
36536503
Department(s)
Fellows and Residents
Document Type
Article