A team of investigators sought to compare outcomes between laparoscopic cholecystectomy and ultrasound-guided gallbladder drainage for the management of acute cholecystitis.
The researchers recommend that [endoscopic ultrasound-guided gallbladder drainage] be used as one of the first-line approaches when treating this patient population and is preferably performed in centers with high expertise owing to the chances of rare but serious adverse events.
Study investigators concluded that although the optimum treatment course for common bile duct stones has not yet been determined, “ERCP for CBD stone clearance involves multiple interventions, prolonged treatment, causes post procedure morbidity and high treatment costs.
The involvement of the biliary tract in bacteremia caused by Staphylococcus aureus may be more likely to develop in certain patients and aggressive treatment should be considered.
No significant differences in surgical complication risk were seen in early or delayed cholecystectomy for acute cholangitis and acute cholecystitis.