{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:35:49Z","timestamp":1790249749998,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Laparoscopic cholecystectomy remains the standard treatment for acute cholecystitis (AC) although it is always not suitable for patients who are poor candidates for surgery. Recently, endoscopic gallbladder (GB) drainage was found to be a potentially revolutionary alternative for cholecystectomy for the control of symptoms, definitive treatment, or bridging therapy until surgery is possible. Two endoscopic methods have been established using either the trans\u2010mural or trans\u2010papillary drainage approach. Endoscopic ultrasound\u2010guided GB drainage (EUS\u2010GBD; trans\u2010mural approach) is a novel technique that allows stent placement between the GB and duodenum or stomach via fistula track, effectively enabling GB drainage. For endoscopic trans\u2010papillary GB drainage (ETGBD; trans\u2010papillary approach), attempts of selective cannulation to the cystic duct should be made to place the stent in the same manner as an endoscopic retrograde cholangiopancreatography. In comparison, EUS\u2010GBD has higher clinical success and lower recurrence rates than ETGBD due to the use of larger\u2010caliber stents, which allow for effective drainage when performed by skilled practitioners at high\u2010volume centers. Advantages of ETGBD over EUS\u2010GBD include more affordable costs and physiologic drainage, which preserves naive anatomy for possible future cholecystectomy. Although the field of endoscopic treatment for AC is rapidly advancing, important questions regarding which method improves clinical outcomes and safety more effectively remain unaddressed. Herein, the current status of endoscopic treatment for AC, including a technical review on clinical outcomes, adverse events, and advantages and disadvantages of each technique are reviewed, as well as other future prospects.<\/jats:p>","DOI":"10.1111\/den.14083","type":"journal-article","created":{"date-parts":[[2021,7,18]],"date-time":"2021-07-18T14:41:41Z","timestamp":1626619301000},"page":"439-450","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Current status of endoscopic management of cholecystitis"],"prefix":"10.1111","volume":"34","author":[{"given":"Se Woo","family":"Park","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University College of Medicine Hwaseong\u2010si Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Soo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul 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