International Guidelines on Acute Cholecystitis Management
These guidelines provide key recommendations for the management of acute cholecystitis highlighting the standard and emerging practices, including laparoscopic cholecystectomy and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) tailored to the needs of patients who may not be suitable for traditional surgical interventions.
World Society of Emergency Surgery (WSES) Guidelines:
The 2020 WSES guidelines emphasize early laparoscopic cholecystectomy as the standard of care for acute cholecystitis. However, they acknowledge the role of gallbladder drainage, including the use of LAMS, in high-risk patients1.
European Society of Gastrointestinal Endoscopy (ESGE):
ESGE guidelines endorse endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using LAMS as an alternative to percutaneous cholecystostomy in high-risk surgical patients2.
Tokyo Guidelines:
The Tokyo Guidelines also support the use of EUS-GBD with LAMS for high-risk patients who are not suitable candidates for surgery2.
Comparative Benefits of Hot AXIOS™ EUS-GBD over Percutaneous Gallbladder Drainage (PT-GBD)
In this randomised multicentre controlled superiority trial, EUS-guided gallbladder drainage (EUS-GBD) offered significant advantages over percutaneous transhepatic gallbladder drainage (PT-GBD)3 :
In multiple studies, EUS-GBD demonstrated significantly fewer adverse events compared to PT-GBD4,5,6,7,8,9,10.
In another study, patients undergoing EUS-GBD conversion also experienced lower rates of recurrent acute cholecystitis (p=0.012) and unplanned readmissions due to gallstone-related diseases (p=0.022) compared to those receiving conservative treatment11.
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Enabling efficient and effective treatment procedures
Learn more about Hot AXIOS in the management of acute cholecystitis; optimizing the patient pathway for these patients and the healthcare team specialists’ collaborative efforts in providing optimal care for patients.
