CONVERSION OF A MALFUNCTIONING PERCUTANEOUS CHOLECYSTOSTOMY INTO AN EUS-GUIDED CHOLECYSTOGASTROSTOMY

Percutaneous gallbladder drainage (PGD) is the treatment of choice for acute cholecystitis in high risk surgical patients. EUS-guided transmural drainage (EUS-GBD) has shown similar results with a lower rate of complications. In addition, as its role as initial approach, EUS-GBD may convert a pre existing PGD into an internal drain, reducing common complications (ie catheter dislodgement, cellulitis, fistula formation and infection) and increasing patient’s comfort. We hereby report a case of successful EUS-GBD conversion in a patient with PGD and recurrent complications.

Publication History

Article published online:
14 April 2022