Endoscopic Treatment of Cholecystitis
Author Information
Author(s): JEROME H. SIEGEL, FRANKLIN E. KASMIN, SETH A. COHEN
Primary Institution: Beth Israel Medical Center, New York, NY
Hypothesis
Can endoscopic retrograde cholangiopancreatography (ERCP) be an effective alternative treatment for cholecystitis?
Conclusion
Endoscopic techniques can be a safe alternative for treating cholecystitis in selected patients, with no complications reported in the follow-up period.
Supporting Evidence
- Endoscopic techniques were selected as the only invasive method of treating cholecystitis in 11 patients.
- Selective cannulation of the cystic duct was attempted in 17 patients, achieving a success rate of 65%.
- No patients required surgery and no complications occurred during follow-up.
Takeaway
Doctors can use a special camera technique to help patients with gallbladder problems instead of doing surgery, which can be safer for some people.
Methodology
The study involved 17 patients with cholecystitis who underwent ERCP, selective cannulation of the cystic duct, and various endoscopic techniques to manage their condition.
Potential Biases
The skill level of endoscopists may vary, which could introduce bias in the outcomes.
Limitations
The study is based on a small number of cases and the follow-up period varies, which may affect the generalizability of the results.
Participant Demographics
12 females, ages 43-90 years, mean age 72.4 years.
Want to read the original?
Access the complete publication on the publisher's website