SynthesisSurgical endoscopy2018
Meta-analysis of outcomes of endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for the management of acute cholecystitis.
Synthesis in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 48 citations in OpenAlex.
- US-guided trocar versus Seldinger technique for percutaneous cholecystostomy (TROSELC II trial).Abdominal radiology (New York) · 2023Trial
- Efficacy and safety of ultrasound-guided bedside percutaneous cholecystostomy using the transhepatic approach and trocar technique in patients with acute cholecystitis.Diagnostic and interventional radiology (Ankara, Turkey) · 2026Article
- Endosonography-guided suture device for gastrointestinal lumen-to-lumen apposition in a porcine model.iGIE : innovation, investigation and insights · 2025Article
- Percutaneous Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management.Seminars in interventional radiology · 2024Review
- Endoscopic Management of Benign Gallbladder Diseases.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Review
- The Multifaceted Impact of Gallstones: Understanding Complications and Management Strategies.Cureus · 2024Review
- Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives.Medicina (Kaunas, Lithuania) · 2024Review
- Bedside Ultrasound-Guided Percutaneous Cholecystostomy in Critically Ill Patients-Outcomes in 51 Patients.The Indian journal of radiology & imaging · 2024Article
- Ultrasound-Guided Interventions in the Biliary System.Diagnostics (Basel, Switzerland) · 2024Review
- Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Management of complicated choledochal cyst in children: ultrasound-guided percutaneous external drainage and subsequent definitive operation.BMC pediatrics · 2023Article
- Endoscopic Ultrasound-Guided Gallbladder Drainage versus Percutaneous Gallbladder Drainage for Acute Cholecystitis: A Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2023Review
- Image-guided percutaneous cholecystostomy: a comprehensive review.Irish journal of medical science · 2022Review
- The evaluation of ENGBD versus PTGBD in high-risk acute cholecystitis: A single-center prospective randomized controlled trial.EClinicalMedicine · 2021Article
- When cholecystostomy tube and transpapillary stents for recurrent cholecystitis fail due to large gallstones: rescue with laser lithotripsy via cholecystoduodenal fistula.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2020Article
- A Rare Fatal Bile Peritonitis after Malposition of Endoscopic Ultrasound-Guided 5-Fr Naso-Gallbladder Drainage.Clinical endoscopy · 2020Article
- Percutaneous cholecystostomy in the management of acute cholecystitis - 10 years of experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Outcomes and limitations in EUS-guided gallbladder drainage.Endoscopic ultrasound · 2019Review
- Endoscopic Methods for Gallbladder Drainage.Current treatment options in gastroenterology · 2019Review
- Initial experience with endoscopic ultrasound-guided gallbladder drainage.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopic ultrasound-guided gallbladder drainage is a novel method of treating acute cholecystitis in patients deemed too high risk for surgery. It involves endoscopic stent placement between the gallbladder and the alimentary tract to internally drain the infection and is an alternative to percutaneous cholecystostomy (PC). This meta-analysis assesses the clinical outcomes of high-risk patients undergoing endoscopic drainage with an acute cholecystoenterostomy (ACE) compared with PC in acute cholecystitis.
methodsA literature search was performed using the preferred reporting items for systematic reviews and meta-analyses guidelines. Databases were searched for studies reporting outcomes of patients undergoing ACE or PC. Results were reported as mean differences or pooled odds ratios (OR) with 95% confidence intervals (95% CI).
resultsA total of 1593 citations were reviewed; five studies comprising 495 patients were ultimately selected for analysis. There were no differences in technical or clinical success rates between the two groups on pooled meta-analysis. ACE had significantly lower post-procedural pain scores (mean difference - 3.0, 95% CI - 2.3 to - 3.6, p < 0.001, on a 10-point pain scale). There were no statistically significant differences in procedure complications between groups. Re-intervention rates were significantly higher in the PC group (OR 4.3, 95% CI 2.0-9.3, p < 0.001).
conclusionACE is a promising alternative to PC in high-risk patients with acute cholecystitis, with equivalent success rates, improved pain scores and lower re-intervention rates, without the morbidities associated with external drainage.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.