{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:35:24Z","timestamp":1790249724089,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background\u2002Recent evidence suggests that endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is an effective and safe alternative to percutaneous drainage (PT-GBD). We conducted a systematic review and meta-analysis to compare these two procedures in high risk surgical patients with acute cholecystitis.<\/jats:p>\n                  <jats:p>Methods\u2002A comprehensive electronic literature search was conducted for all articles published up to October 2017 to identify comparative studies between EUS-GBD and PT-GBD. A meta-analysis was performed on outcomes including technical success, clinical success, post-procedure adverse events, length of hospital stay, unplanned hospital readmission, need for reintervention, recurrent cholecystitis, and disease- or treatment-related mortality for these two procedures.<\/jats:p>\n                  <jats:p>Results\u2002Five comparative studies (206 patients in the EUS-GBD group vs. 289 patients in the PT-GBD group), were included in the final analysis. There were no statistically significant differences in technical success (odds ratio [OR] 0.43, 95\u200a% confidence interval [CI] 0.12 to 1.58; P \u200a=\u200a0.21; I\n          2\u200a=\u200a0\u200a%) and clinical success (OR 1.07, 95\u200a%CI 0.36 to 3.16; P \u200a=\u200a0.90; I\n          2\u200a=\u200a44\u200a%) between the two procedures. EUS-GBD had fewer adverse events than PT-GBD (OR 0.43, 95\u200a%CI 0.18 to 1.00; P \u200a=\u200a0.05; I\n          2\u200a=\u200a66\u200a%). Moreover, patients undergoing EUS-GBD had shorter hospital stays, with pooled standard mean difference of \u2013\u200a2.53 (95\u200a%CI\u200a\u2013\u200a4.28 to \u2013\u200a0.78; P\u200a=\u200a0.005; I\n          2\u200a=\u200a98\u200a%), and required significantly fewer reinterventions (OR 0.16, 95\u200a%CI 0.04 to 0.042; P\u200a&lt;\u200a 0.001; I\n          2\u200a=\u200a32\u200a%) resulting in significantly fewer unplanned readmissions (OR 0.16, 95\u200a%CI 0.05 to 0.53; P \u200a=\u200a0.003; I\n          2\u200a=\u200a79\u200a%).<\/jats:p>\n                  <jats:p>Conclusions\u2002EUS-GBD was associated with lower rates of post-procedure adverse events, shorter hospital stays, and fewer reinterventions and readmissions compared with PT-GBD in patients with acute cholecystitis who were unfit for surgery.<\/jats:p>","DOI":"10.1055\/a-0929-6603","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T18:39:50Z","timestamp":1561487990000},"page":"722-732","source":"Crossref","is-referenced-by-count":102,"title":["Endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for high risk surgical patients with acute cholecystitis: a systematic review and meta-analysis"],"prefix":"10.1055","volume":"51","author":[{"given":"Sally Wai-Yin","family":"Luk","sequence":"additional","affiliation":[{"name":"Department of Surgery, North District Hospital, Sheung Shui, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Irani","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Virginia Mason Medical Center, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Krishnamoorthi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Virginia Mason Medical Center, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Yun","family":"Wong Lau","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Sha Tin, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enders Kwok","family":"Wai Ng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Sha Tin, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony Yuen-Bum","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Sha Tin, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,6,25]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0929-6603.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T18:33:28Z","timestamp":1564079608000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0929-6603"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,25]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2019,7,25]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0929-6603","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,25]]}}}