{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:13:41Z","timestamp":1786115621862,"version":"build-2736575974"},"reference-count":113,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Science and Technology Project","award":["NO. 25ZX-P-02"],"award-info":[{"award-number":["NO. 25ZX-P-02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Acute cholecystitis (AC) is a common inflammatory disease of the gallbladder. Although laparoscopic cholecystectomy remains the standard treatment, gallbladder drainage may be required in patients who are unsuitable for early surgery. Endoscopic transpapillary gallbladder drainage (ETGBD), including endoscopic nasogallbladder drainage (ENGBD) and endoscopic gallbladder stenting (EGBS), has increasingly been used as a minimally invasive internal drainage approach. Aims: This review aims to clarify the role of ETGBD in AC by integrating stepwise technical failure analysis with a practical selection framework among other drainage techniques. Methods: This narrative review was conducted through a structured literature search of PubMed, Embase, Web of Science, and the Cochrane Library up to 30 April 2026. Results: ETGBD preserves native gallbladder anatomy and may have specific value in selected patients, particularly when gallbladder preservation is desirable or concomitant endoscopic retrograde cholangiopancreatography (ERCP) is indicated. Recent technical developments, including cholangioscopy and advanced drainage devices, may support procedural planning and clinical management in selected difficult cases. Compared with percutaneous transhepatic gallbladder drainage (PTGBD) or endoscopic ultrasound-guided gallbladder drainage (EUS-GBD), ETGBD should be regarded as a complementary option rather than a universal substitute, and its application remains limited by variable technical success, cystic duct anatomy, operator expertise, and center experience. However, ETGBD may also be combined with other techniques, providing additional options in selected complex clinical scenarios. Conclusions: Adequately powered multicenter comparative studies with standardized outcome definitions are needed to clarify the optimal role, safety, recurrence risk, and long-term stent management of ETGBD.<\/jats:p>","DOI":"10.3390\/jcm15156007","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:50:21Z","timestamp":1785757821000},"page":"6007","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Technical Evolution, Clinical Application, and Outcomes of Endoscopic Transpapillary Gallbladder Drainage in Acute Cholecystitis: A Review"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3876-0502","authenticated-orcid":false,"given":"Junqi","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongjun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1001\/jama.2022.2350","article-title":"Acute Cholecystitis: A Review","volume":"327","author":"Gallaher","year":"2022","journal-title":"JAMA"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s13017-020-00336-x","article-title":"2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis","volume":"15","author":"Pisano","year":"2020","journal-title":"World J. Emerg. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"6051","DOI":"10.1007\/s00464-023-10094-x","article-title":"Early laparoscopic cholecystectomy for acute cholecystitis following the Tokyo Guidelines 2018: A prospective single-center study of 201 consecutive cases","volume":"37","author":"Mishima","year":"2023","journal-title":"Surg. Endosc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/jhbp.504","article-title":"Tokyo Guidelines 2018: Management strategies for gallbladder drainage in patients with acute cholecystitis (with videos)","volume":"25","author":"Mori","year":"2018","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1016\/j.cgh.2022.12.039","article-title":"AGA Clinical Practice Update on Role of EUS-Guided Gallbladder Drainage in Acute Cholecystitis: Commentary","volume":"21","author":"Irani","year":"2023","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1007\/s00464-011-2035-0","article-title":"Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients","volume":"26","author":"McKay","year":"2012","journal-title":"Surg. Endosc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2421","DOI":"10.1007\/s00464-022-09712-x","article-title":"Endoscopic ultrasound (EUS)-guided cholecystostomy versus percutaneous cholecystostomy (PTC) in the management of acute cholecystitis in patients unfit for surgery: A systematic review and meta-analysis","volume":"37","author":"Hemerly","year":"2023","journal-title":"Surg. Endosc."},{"key":"ref_8","first-page":"37","article-title":"Selective cannulation of the cystic duct at time of ERCP","volume":"6","author":"Kozarek","year":"1984","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1097\/SLE.0000000000001294","article-title":"The Success Rate Is Lower but Completion Rate of Laparoscopic Cholecystectomy Is higher in Endoscopic Transpapillary Gallbladder Drainage than Percutaneous Gallbladder Drainage for Acute Cholecystitis","volume":"34","author":"Masuda","year":"2024","journal-title":"Surg. Laparosc. Endosc. Percutaneous Tech."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1097\/MCG.0000000000001866","article-title":"Evaluation of the Validity of Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis Based on the Tokyo Guidelines 2018","volume":"58","author":"Suzuki","year":"2024","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1177\/08850666241267262","article-title":"Approaches to Cholecystitis: Surgical, Endoscopic, and Percutaneous Management","volume":"40","author":"Cherng","year":"2024","journal-title":"J. Intensive Care Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"21156","DOI":"10.1038\/s41598-023-48543-1","article-title":"Endoscopic gallbladder inside-stenting combined with aspirated lavage for calculous cholecystitis in poor surgical candidates: A prospective pilot study","volume":"13","author":"Inoue","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.gie.2008.02.052","article-title":"Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible (with video)","volume":"68","author":"Itoi","year":"2008","journal-title":"Gastrointest. Endosc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1055\/s-2007-966335","article-title":"Endoscopic gallbladder drainage of patients with acute cholecystitis","volume":"39","author":"Kjaer","year":"2007","journal-title":"Endoscopy"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1055\/s-0029-1214727","article-title":"Endoscopic gallbladder drainage for acute cholecystitis: Technical and clinical results","volume":"41","author":"Mutignani","year":"2009","journal-title":"Endoscopy"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/den.14756","article-title":"Role of advanced endoscopy in the management of inflammatory\u2009digestive diseases (pancreas and biliary tract)","volume":"36","author":"Ueki","year":"2024","journal-title":"Dig. Endosc."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Maekawa, S., Nomura, R., Murase, T., Ann, Y., Oeholm, M., and Harada, M. (2013). Endoscopic gallbladder stenting for acute cholecystitis: A retrospective study of 46 elderly patients aged 65 years or older. BMC Gastroenterol., 13.","DOI":"10.1186\/1471-230X-13-65"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2516","DOI":"10.1007\/s10620-014-3371-4","article-title":"Endoscopic Transpapillary Gallbladder Stent Placement Is Safe and Effective in High-Risk Patients Without Cirrhosis","volume":"60","author":"McCarthy","year":"2015","journal-title":"Dig. Dis. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e308","DOI":"10.1002\/deo2.308","article-title":"Factors predicting technical failure of endoscopic transpapillary gallbladder drainage for acute cholecystitis","volume":"4","author":"Hirakawa","year":"2024","journal-title":"DEN Open"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2902","DOI":"10.4240\/wjgs.v16.i9.2902","article-title":"Benefits of endoscopic gallbladder stenting following percutaneous transhepatic gallbladder drainage","volume":"16","author":"Niiya","year":"2024","journal-title":"World J. Gastrointest. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Yoshida, M., Naitoh, I., Hayashi, K., Hori, Y., Kato, A., Kachi, K., Asano, G., Sahashi, H., Toyohara, T., and Kuno, K. (2023). Theoretical step approach with \u2019Three-pillar\u2019 device assistance for successful endoscopic transpapillary gallbladder drainage. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0281605"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1055\/s-2007-1010347","article-title":"Endoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk","volume":"25","author":"Feretis","year":"1993","journal-title":"Endoscopy"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0016-5107(90)71134-0","article-title":"Endoscopic transpapillary drainage of gallbladder empyema","volume":"36","author":"Feretis","year":"1990","journal-title":"Gastrointest. Endosc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/S0016-5107(94)70263-2","article-title":"Treatment of high-risk patients with symptomatic cholelithiasis by endoscopic gallbladder stenting","volume":"40","author":"Kalloo","year":"1994","journal-title":"Gastrointest. Endosc."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1055\/s-2007-1010596","article-title":"Efficacy of endoscopic retrograde cholecystoendoprosthesis (ERCCE) for cholecystitis","volume":"23","author":"Tamada","year":"1991","journal-title":"Endoscopy"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.gie.2014.09.046","article-title":"Endoscopic nasogallbladder tube or stent placement in acute cholecystitis: A preliminary prospective randomized trial in Japan (with videos)","volume":"81","author":"Itoi","year":"2015","journal-title":"Gastrointest. Endosc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1055\/s-0030-1256226","article-title":"Outcomes of endoscopic transpapillary gallbladder stenting for symptomatic gallbladder diseases: A multicenter prospective follow-up study","volume":"43","author":"Lee","year":"2011","journal-title":"Endoscopy"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Bozic, D., Ardalic, Z., Mestrovic, A., Ivisic, J.B., Alicic, D., Zaja, I., Ivanovic, T., Bozic, I., Puljiz, Z., and Bratanic, A. (2023). Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review. Medicina, 60.","DOI":"10.3390\/medicina60010005"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s00534-005-1062-4","article-title":"Endoscopic naso-gallbladder drainage in the treatment of acute cholecystitis: Alleviates inflammation and fixes operator\u2019s aim during early laparoscopic cholecystectomy","volume":"13","author":"Toyota","year":"2006","journal-title":"J. Hepatobiliary Pancreat. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1016\/j.gie.2012.06.034","article-title":"Endoscopic naso-gallbladder drainage by using cholangioscopy for acute cholecystitis combined with cholangitis or choledocholithiasis (with video)","volume":"76","author":"Shin","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"411","DOI":"10.5946\/ce.2015.48.5.411","article-title":"Endoscopic Gallbladder Drainage for Acute Cholecystitis","volume":"48","author":"Widmer","year":"2015","journal-title":"Clin. Endosc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.2169\/internalmedicine.55.5820","article-title":"Efficacy and Safety of Endoscopic Gallbladder Stenting for Acute Cholecystitis in Patients with Concomitant Unresectable Cancer","volume":"55","author":"Hatanaka","year":"2016","journal-title":"Intern. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/den.13028","article-title":"Hybrid procedure combining endoscopic gallbladder lavage and internal drainage with elective cholecystectomy for acute cholecystitis: A prospective pilot study (The BLADE study)","volume":"30","author":"Doi","year":"2018","journal-title":"Dig. Endosc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"E1105","DOI":"10.1055\/a-0747-5668","article-title":"Endoscopic transpapillary gallbladder stenting using a newly designed plastic stent for acute cholecystitis","volume":"7","author":"Nakahara","year":"2019","journal-title":"Endosc. Int. Open"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"221","DOI":"10.5946\/ce.2019.099","article-title":"A New Technique of Endoscopic Transpapillary Gallbladder Drainage Combined with Intraductal Ultrasonography for the Treatment of Acute Cholecystitis","volume":"53","author":"Sagami","year":"2020","journal-title":"Clin. Endosc."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/SLE.0000000000000802","article-title":"Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis After Biliary Self-Expandable Metal Stent Placement","volume":"30","author":"Nakahara","year":"2020","journal-title":"Surg. Laparosc. Endosc. Percutaneous Tech."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.gie.2020.03.3866","article-title":"Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement in patients with acute cholecystitis at moderate to high surgical risk (with videos)","volume":"92","author":"Ridtitid","year":"2020","journal-title":"Gastrointest. Endosc."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Kim, T.H., Park, D.E., and Chon, H.K. (2020). Endoscopic transpapillary gallbladder drainage for the management of acute calculus cholecystitis patients unfit for urgent cholecystectomy. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0240219"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1002\/jhbp.744","article-title":"Factors affecting technical success of endoscopic transpapillary gallbladder drainage for acute cholecystitis","volume":"27","author":"Maruta","year":"2020","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1111\/den.13650","article-title":"Endoscopic transpapillary gallbladder drainage for acute cholecystitis is feasible for patients receiving antithrombotic therapy","volume":"32","author":"Sagami","year":"2020","journal-title":"Dig. Endosc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"899","DOI":"10.5946\/ce.2021.023","article-title":"Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis using Two Gallbladder Stents (Dual Gallbladder Stenting)","volume":"54","author":"Sobani","year":"2021","journal-title":"Clin. Endosc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1002\/jhbp.967","article-title":"Permanent endoscopic gallbladder stenting versus removal of gallbladder drainage, long-term outcomes after management of acute cholecystitis in high-risk surgical patients for cholecystectomy: Multi-center retrospective cohort study","volume":"28","author":"Maruta","year":"2021","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Sato, J., Nakahara, K., Michikawa, Y., Morita, R., Suetani, K., Sekine, A., Igarashi, Y., Kobayashi, S., Otsubo, T., and Itoh, F. (2021). The Influence of Pre-Procedural Imaging and Cystic Duct Cholangiography on Endoscopic Transpapillary Gallbladder Drainage in Acute Cholecystitis. Diagnostics, 11.","DOI":"10.3390\/diagnostics11071286"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2613","DOI":"10.2169\/internalmedicine.6964-20","article-title":"Endoscopic Transpapillary Gallbladder Drainage in a Patient with Billroth-II Reconstruction","volume":"60","author":"Takano","year":"2021","journal-title":"Intern. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/j.gie.2021.03.025","article-title":"Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis","volume":"94","author":"Storm","year":"2021","journal-title":"Gastrointest. Endosc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1002\/deo2.40","article-title":"Permanent endoscopic transpapillary gallbladder drainage using a novel spiral stent (IYO-stent)","volume":"2","author":"Takano","year":"2022","journal-title":"DEN Open"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1111\/den.13959","article-title":"Incidence and management of cystic duct perforation during endoscopic transpapillary gallbladder drainage for acute cholecystitis","volume":"34","author":"Nakahara","year":"2022","journal-title":"Dig. Endosc."},{"key":"ref_48","first-page":"e25072","article-title":"Feasibility of a Single Pigtail Stent Made by Cutting a Nasobiliary Drainage Tube in Endoscopic Transpapillary Gallbladder Stenting for Acute Cholecystitis","volume":"14","author":"Takahashi","year":"2022","journal-title":"Cureus"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Maruta, A., Iwashita, T., Yoshida, K., Iwata, K., Shimizu, S., and Shimizu, M. (2022). Endoscopic Internalization by Cutting the Endoscopic Transpapillary Nasogallbladder Drainage Tube in Management of Acute Cholecystitis: A Retrospective Multicenter Cohort Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11247415"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"E197","DOI":"10.1055\/a-1956-2143","article-title":"Cystic duct recanalization with a screw tip stent retriever aids plastic stent delivery in endoscopic transpapillary gallbladder drainage","volume":"55","author":"Ban","year":"2023","journal-title":"Endoscopy"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1080\/00365521.2022.2118554","article-title":"Clinical outcomes and predictors of technical failure of endoscopic transpapillary gallbladder drainage in acute cholecystitis","volume":"58","author":"Sato","year":"2023","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.gie.2023.01.009","article-title":"Prophylactic endoscopic gallbladder stent placement for cholecystitis after covered metal stent placement for distal biliary obstruction (with video)","volume":"98","author":"Ishii","year":"2023","journal-title":"Gastrointest. Endosc."},{"key":"ref_53","first-page":"e115","article-title":"Endoscopic transpapillary gallbladder drainage using a tapered endoscopic sheath","volume":"35","author":"Koizumi","year":"2023","journal-title":"Dig. Endosc."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1002\/jhbp.1344","article-title":"Endoscopic internalization by cutting versus removal of the endoscopic transpapillary naso-gallbladder drainage tube in preoperative management of acute cholecystitis: A retrospective multicenter cohort study","volume":"30","author":"Maruta","year":"2023","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"E433","DOI":"10.1055\/a-2312-8560","article-title":"Endoscopic transpapillary gallbladder drainage using a novel drill dilator","volume":"56","author":"Noda","year":"2024","journal-title":"Endoscopy"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1111\/den.14943","article-title":"Endoscopic transpapillary gallbladder drainage using a novel sphincterotome","volume":"37","author":"Ishikawa","year":"2025","journal-title":"Dig. Endosc."},{"key":"ref_57","first-page":"a24724256","article-title":"Endoscopic transpapillary gallbladder drainage is associated with favorable long-term outcomes in patients with advanced liver disease","volume":"13","author":"Cooper","year":"2025","journal-title":"Endosc. Int. Open"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"E1218","DOI":"10.1055\/a-2721-9273","article-title":"Endoscopic transpapillary gallbladder drainage for localized acute cholecystitis confined by segmental adenomyomatosis using a novel rotatable sphincterotome","volume":"57","author":"Goda","year":"2025","journal-title":"Endoscopy"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1111\/den.14996","article-title":"Novel over-the-wire stent exchange technique with a loop cutter for endoscopic transpapillary gallbladder drainage in a complex anatomical case","volume":"37","author":"Kuraishi","year":"2025","journal-title":"Dig. Endosc."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"e70053","DOI":"10.1111\/den.70053","article-title":"Novel Plastic Stent With an Integrated Delivery System for Endoscopic Transpapillary Gallbladder Stenting: A Preliminary Feasibility Study (With Video)","volume":"38","author":"Nakahara","year":"2026","journal-title":"Dig. Endosc."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/S0016-5107(04)02445-9","article-title":"Endoscopic stent insertion into the gallbladder for symptomatic gallbladder disease in patients with end-stage liver disease","volume":"61","author":"Conway","year":"2005","journal-title":"Gastrointest. Endosc."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1016\/j.gie.2015.08.072","article-title":"Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)","volume":"83","author":"Inoue","year":"2016","journal-title":"Gastrointest. Endosc."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"104098","DOI":"10.1016\/j.pdpdt.2024.104098","article-title":"SpyGlass guided PDT for advanced intraductal papillary mucinous neoplasm of the bile tract: A case report and literature review","volume":"46","author":"Chi","year":"2024","journal-title":"Photodiagnosis Photodyn. Ther."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"476","DOI":"10.5009\/gnl20238","article-title":"Four-Step Classification of Endoscopic Transpapillary Gallbladder Drainage and the Practical Efficacy of Cholangioscopic Assistance","volume":"15","author":"Yoshida","year":"2021","journal-title":"Gut Liver"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/den.14958","article-title":"Endoscopic transpapillary gallbladder drainage using a novel cholangioscope","volume":"37","author":"Hamamura","year":"2025","journal-title":"Dig. Endosc."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"E339","DOI":"10.1055\/a-1125-5826","article-title":"Endoscopic transpapillary gallbladder drainage using the balloon occlusion method to advance the guidewire into the cystic duct","volume":"52","author":"Nakahara","year":"2020","journal-title":"Endoscopy"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.vgie.2023.07.007","article-title":"Tips and tricks for endoscopic transpapillary gallbladder drainage","volume":"8","author":"AbiMansour","year":"2023","journal-title":"VideoGIE"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"E417","DOI":"10.1055\/s-0034-1392655","article-title":"Digital cholangioscopy-assisted gallbladder drainage: Seeing is accessing","volume":"47","author":"Tyberg","year":"2015","journal-title":"Endoscopy"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.gie.2016.07.016","article-title":"Digital cholangioscopy-assisted endoscopic gallbladder drainage","volume":"85","author":"Kedia","year":"2017","journal-title":"Gastrointest. Endosc."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"101897","DOI":"10.1016\/j.bpg.2024.101897","article-title":"Management of ERCP complications","volume":"69","author":"Pal","year":"2024","journal-title":"Best Pract. Res. Clin. Gastroenterol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"E1078","DOI":"10.1055\/a-1893-5590","article-title":"Efficacy of an easy loop-forming guidewire in endoscopic transpapillary gallbladder drainage with gallstones impacted in the cystic duct","volume":"54","author":"Takenaka","year":"2022","journal-title":"Endoscopy"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1155\/2008\/702516","article-title":"Predicting the success of endoscopic transpapillary gallbladder drainage for patients with acute cholecystitis during pretreatment evaluation","volume":"22","author":"Ogawa","year":"2008","journal-title":"Can. J. Gastroenterol."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"239","DOI":"10.5009\/gnl14070","article-title":"Feasibility, efficacy, and predictive factors for the technical success of endoscopic nasogallbladder drainage: A prospective study","volume":"9","author":"Yane","year":"2015","journal-title":"Gut Liver"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"e96","DOI":"10.1111\/den.13689","article-title":"Use of small-caliber intraductal balloon catheter for straightening the looped cystic duct during endoscopic transpapillary gallbladder drainage","volume":"32","author":"Jimbo","year":"2020","journal-title":"Dig. Endosc."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1002\/jhbp.1114","article-title":"Double-guidewire technique for endoscopic transpapillary gallbladder stenting","volume":"29","author":"Nakahara","year":"2022","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Troncone, E., Amendola, R., Moscardelli, A., De Cristofaro, E., De Vico, P., Paoluzi, O.A., Monteleone, G., Perez-Miranda, M., and Blanco, G.D.V. (2024). Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives. Medicina, 60.","DOI":"10.3390\/medicina60040633"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"472","DOI":"10.3109\/00365521.2015.1115116","article-title":"Endoscopic naso-gallbladder drainage versus gallbladder stenting before cholecystectomy in patients with acute cholecystitis and a high suspicion of choledocholithiasis: A prospective randomised preliminary study","volume":"51","author":"Yang","year":"2016","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"a25097076","DOI":"10.1055\/a-2509-7076","article-title":"EUS-guided gallbladder drainage vs dual stent transpapillary gallbladder drainage for management of acute cholecystitis","volume":"13","author":"Amin","year":"2025","journal-title":"Endosc. Int. Open"},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Niiya, F., Tamai, N., Yamawaki, M., Noda, J., Azami, T., Takano, Y., Nishimoto, F., and Nagahama, M. (2025). Timing and other factors influencing shortterm outcomes of endoscopic transpapillary gallbladder drainage for acute cholecystitis: A retrospective study. BMC Gastroenterol., 25.","DOI":"10.1186\/s12876-025-04027-2"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A lexicon for endoscopic adverse events: Report of an ASGE workshop","volume":"71","author":"Cotton","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.gie.2016.06.032","article-title":"Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis: Is it better than percutaneous gallbladder drainage?","volume":"85","author":"Khan","year":"2017","journal-title":"Gastrointest. Endosc."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1007\/s00464-018-6406-7","article-title":"Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: Clinical outcomes and success in an International, Multicenter Study","volume":"33","author":"Siddiqui","year":"2019","journal-title":"Surg. Endosc."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1002\/jgh3.12397","article-title":"Successful treatment with endoscopic transpapillary drainage for gallbladder perforation associated with steroid treatment for interstitial pneumonia (with video)","volume":"4","author":"Kawakami","year":"2020","journal-title":"JGH Open"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1111\/den.12264","article-title":"Late onset pancreatitis 6 months after endoscopic transpapillary gallbladder stenting for acute cholecystitis","volume":"26","author":"Yane","year":"2014","journal-title":"Dig. Endosc."},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Manudhane, A.P., Leupold, M.D., Shah, H.W., Shah, R., Han, S.Y., Lee, P.J., Burlen, J.J., Papachristou, G.I., and Krishna, S.G. (2024). A Review on Endoscopic Management of Acute Cholecystitis: Endoscopic Ultrasound-Guided Gallbladder Drainage and Endoscopic Transpapillary Gallbladder Drainage. Medicina, 60.","DOI":"10.3390\/medicina60020212"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"e70133","DOI":"10.1002\/deo2.70133","article-title":"Endoscopic management of acute cholecystitis in high-risk surgical patients: A comprehensive review article","volume":"6","author":"Maruta","year":"2026","journal-title":"DEN Open"},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Inoue, T., Yoshida, M., Suzuki, Y., Kitano, R., Okumura, F., and Naitoh, I. (2021). Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review. J. Clin. Med., 10.","DOI":"10.3390\/jcm10214842"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"345","DOI":"10.4253\/wjge.v13.i8.345","article-title":"Efficacy and safety of endoscopic transpapillary gallbladder drainage in acute cholecystitis: An updated meta-analysis","volume":"13","author":"Jandura","year":"2021","journal-title":"World J. Gastrointest. Endosc."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.hpb.2019.10.1530","article-title":"Surgical outcomes of ERCP-guided transpapillary gallbladder drainage versus percutaneous cholecystostomy as bridging therapies for acute cholecystitis followed by interval cholecystectomy","volume":"22","author":"Kaura","year":"2020","journal-title":"HPB"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"E594","DOI":"10.1055\/s-0044-102091","article-title":"Comparable efficacy of endoscopic transpapillary gallbladder drainage and percutaneous transhepatic gallbladder drainage in acute cholecystitis","volume":"6","author":"Iino","year":"2018","journal-title":"Endosc. Int. Open"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1002\/jhbp.454","article-title":"Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: International multicenter comparative study using propensity score-matched analysis","volume":"24","author":"Itoi","year":"2017","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"100668","DOI":"10.1016\/j.eclinm.2020.100668","article-title":"The evaluation of ENGBD versus PTGBD in high-risk acute cholecystitis: A single-center prospective randomized controlled trial","volume":"31","author":"Mu","year":"2021","journal-title":"EClinicalMedicine"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"56","DOI":"10.14701\/ahbps.22-065","article-title":"Outcomes of endoscopic retrograde cholangiopancreatography-guided gallbladder drainage compared to percutaneous cholecystostomy in acute cholecystitis","volume":"27","author":"Ali","year":"2023","journal-title":"Ann. Hepatobiliary Pancreat. Surg."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1007\/s10620-022-07651-0","article-title":"Long-Term Impact of Endoscopic Gallbladder Stenting for Calculous Cholecystitis in Poor Surgical Candidates: A Multi-center Comparative Study","volume":"68","author":"Inoue","year":"2023","journal-title":"Dig. Dis. Sci."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.gie.2018.08.052","article-title":"EUS-guided cholecystostomy versus endoscopic transpapillary cholecystostomy for acute cholecystitis in high-risk surgical patients","volume":"89","author":"Oh","year":"2019","journal-title":"Gastrointest. Endosc."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.gie.2019.04.238","article-title":"EUS-guided gallbladder drainage with a lumen-apposing metal stent versus endoscopic transpapillary gallbladder drainage for the treatment of acute cholecystitis (with videos)","volume":"90","author":"Higa","year":"2019","journal-title":"Gastrointest. Endosc."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"448","DOI":"10.4103\/EUS-D-20-00130","article-title":"Endoscopic gallbladder drainage for acute cholecystitis with high-risk surgical patients between transduodenal and transpapillary stenting","volume":"10","author":"Nishiguchi","year":"2021","journal-title":"Endosc. Ultrasound"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.gie.2023.04.002","article-title":"Comparison of the long-term outcomes of EUS-guided gallbladder drainage and endoscopic transpapillary gallbladder drainage for calculous cholecystitis in poor surgical candidates: A multicenter propensity score-matched analysis","volume":"98","author":"Inoue","year":"2023","journal-title":"Gastrointest. Endosc."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"104","DOI":"10.14701\/ahbps.21-098","article-title":"Ultimate outcomes of three modalities for non-surgical gallbladder drainage in acute cholecystitis with or without concomitant common bile duct stones","volume":"26","author":"Ridtitid","year":"2022","journal-title":"Ann. Hepatobiliary Pancreat. Surg."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.giec.2024.02.010","article-title":"Endoscopic Ultrasonography-Guided Gallbladder Drainage","volume":"34","author":"Chan","year":"2024","journal-title":"Gastrointest. Endosc. Clin. N Am."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.gie.2021.09.028","article-title":"Trial sequential analysis of EUS-guided gallbladder drainage versus percutaneous cholecystostomy in patients with acute cholecystitis","volume":"95","author":"Cucchetti","year":"2022","journal-title":"Gastrointest. Endosc."},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Fugazza, A., Andreozzi, M., De Marco, A., Da Rio, L., Colombo, M., Spadaccini, M., Carrara, S., Giacchetto, M., Sharma, M., and Craviotto, V. (2023). Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction. Diagnostics, 13.","DOI":"10.3390\/diagnostics13172788"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"70","DOI":"10.3748\/wjg.v30.i1.70","article-title":"Use of endoscopic ultrasound-guided gallbladder drainage as a rescue approach in cases of unsuccessful biliary drainage","volume":"30","author":"Fugazza","year":"2024","journal-title":"World J. Gastroenterol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1111\/den.14605","article-title":"Endoscopic ultrasound in the management of acute cholecystitis: Practical review","volume":"35","author":"Tripodi","year":"2023","journal-title":"Dig. Endosc."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1007\/s12664-024-01614-1","article-title":"Outcomes of endoscopic ultrasound-guided gallbladder drainage: A multicenter study from India (with video)","volume":"43","author":"Chavan","year":"2024","journal-title":"Indian J. Gastroenterol."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"3567","DOI":"10.1007\/s00464-019-07026-z","article-title":"Cost effectiveness of endoscopic gallbladder drainage to treat acute cholecystitis in poor surgical candidates","volume":"33","author":"Corral","year":"2019","journal-title":"Surg. Endosc."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.gie.2023.10.043","article-title":"Safety and adverse events of EUS-guided gallbladder drainage using lumen-apposing metal stents and percutaneous cholecystostomy tubes: A systematic review and meta-analysis","volume":"99","author":"Hayat","year":"2024","journal-title":"Gastrointest. Endosc."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/j.gassur.2024.08.002","article-title":"Interval cholecystectomy following drainage procedures for acute cholecystitis: Percutaneous transhepatic vs endoscopic transpapillary gallbladder drainage","volume":"28","author":"Katsura","year":"2024","journal-title":"J. Gastrointest. Surg."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"k3965","DOI":"10.1136\/bmj.k3965","article-title":"Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): Multicentre randomised clinical trial","volume":"363","author":"Loozen","year":"2018","journal-title":"BMJ"},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1016\/j.gie.2024.03.027","article-title":"American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: Summary and recommendations","volume":"100","author":"Pawa","year":"2024","journal-title":"Gastrointest. Endosc."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/j.gie.2024.05.024","article-title":"Indirect comparison of various lumen-apposing metal stents for EUS-guided biliary and gallbladder drainage: A systematic review and meta-analysis","volume":"100","author":"Singh","year":"2024","journal-title":"Gastrointest. Endosc."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"136","DOI":"10.5009\/gnl.2012.6.1.136","article-title":"The Successful Treatment of Chronic Cholecystitis with SpyGlass Cholangioscopy-Assisted Gallbladder Drainage and Irrigation through Self-Expandable Metal Stents","volume":"6","author":"Gutkin","year":"2012","journal-title":"Gut Liver"},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1007\/s12328-017-0746-z","article-title":"Perforated emphysematous cholecystitis managed by endoscopic transpapillary gallbladder drainage","volume":"10","author":"Iino","year":"2017","journal-title":"Clin. J. Gastroenterol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/15\/6007\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T04:17:05Z","timestamp":1785989825000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/15\/6007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,2]]},"references-count":113,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["jcm15156007"],"URL":"https:\/\/doi.org\/10.3390\/jcm15156007","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,2]]}}}