Cherng Nicole, Achebe Ikechukwu, Winkie Mason, Thomann Julie, Then Eric, Marya Neil B
Department of Surgery, UMass Chan Medical School, Worcester, MA, USA.
Division of Gastroenterology, UMass Chan Medical School, Worcester, MA, USA.
J Intensive Care Med. 2025 Oct;40(10):1033-1041. doi: 10.1177/08850666241267262. Epub 2024 Aug 2.
Acute cholecystitis (AC) is associated with significant morbidity and mortality. Minimally invasive laparoscopic cholecystectomy remains the gold standard of treatment. Therapeutic endoscopy for management of AC continues to emerge as a favorable alternative to percutaneous gallbladder drainage in patients with prohibitive operative risk. Endoscopic management of AC includes transpapillary and transmural stenting. When patient-specific factors prevent both surgical and endoscopic treatment, percutaneous cholecystostomy tube (PCT) placement is an option. Early studies show PCT to have worse outcomes when compared against all other described treatment options for the management of AC.
