Evidence map›Paper›PMID 40007656›Full record

ArticleEndoscopy international open2025

EUS-guided gallbladder drainage vs dual stent transpapillary gallbladder drainage for management of acute cholecystitis.

Dhruval Amin, Katherine M Cooper, Prashanth Rau, Lea Sayegh, Nouran Mostafa, Ikechukwu Achebe, Zachary DeVore, Daniella Gonzalez, Stephanie Stephanie, Jaroslav Zivny and 5 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Dhruval AminMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Katherine M CooperMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.ORCID 0000-0002-6030-4773
Prashanth RauMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Lea SayeghGastroenterology and Hepatology, Mayo Clinic Rochester, Rochester, United States.ORCID 0000-0002-4391-4393
Nouran MostafaMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Ikechukwu AchebeMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Zachary DeVoreMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Daniella GonzalezMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Stephanie StephanieMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Jaroslav ZivnyMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Savant MehtaMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Christopher MarshallMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Navine Nasser-GhodsiMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.
Andrew C StormGastroenterology and Hepatology, Mayo Clinic Minnesota, Rochester, United States.ORCID 0000-0003-0619-5235
Neil B MaryaMedicine, Division of Gastroenterology and Hepatology, UMass Chan, Worcester, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Cholecystectomy (CCY) is the standard treatment for acute cholecystitis. For non-surgical patients, percutaneous cholecystostomy tube (PT-GBD) is recommended but is associated with high readmission rates and poor quality of life. Endoscopic gallbladder decompression techniques, including endoscopic transpapillary gallbladder drainage (ET-GBD) and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD), are alternatives. Studies comparing ET-GBD and EUS-GBD have shown EUS-GBD to have superior outcomes. However, these studies assessed ET-GBD mostly via single transcystic stent placement (SSET-GBD). This study aimed to compare outcomes of dual transcystic stents (DSET-GBD) and EUS-GBD in non-surgical candidates with acute cholecystitis. Patients and methods: A multicenter analysis was conducted on patients who underwent ET-GBD or EUS-GBD between January 2019 and January 2023. Data were extracted from electronic medical records and outcomes including technical success, success, adverse events (AEs), and recurrence rates of cholecystitis were measured. Results: Of 129 procedures (56 EUS-GBD; 73 ET-GBD), technical success was achieved in 87.5% of EUS-GBD and 86.3% of ET-GBD attempts. Immediate clinical success was achieved in 98.1% for EUS-GBD and 100% for DSET-GBD. AE rates were similar between the groups. Recurrent cholecystitis rates were 5.3% for EUS-GBD and 8.2% for DSET-GBD ( Conclusions: This study demonstrates that DSET-GBD has similarly low rates of recurrent acute cholecystitis compared with EUS-GBD. DSET-GBD should be considered as an alternative management strategy for management of acute cholecystitis in patients who are unable to undergo CCY.

Indexed as

Endoscopic ultrasonographyERC topicsIntervention EUSPancreatobiliary (ERCP/PTCD)

Identifiers

PMID40007656
PMCPMC11855224

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.