Advancing the Treatment of Acute Cholecystitis and the Role of EUS-GBD
EUS-GBD using Hot AXIOS™ is a safe and effective alternative to external drainage (PTGBD) in high-risk surgical patients with acute cholecystitis when performed by an experienced endoscopist.
As part of our commitment training and education, Boston Scientific consulted leading experts to share their thoughts and experience.
The resources below cover topics for endoscopists, surgeons, interventional radiologists and other health care professionals interested in getting EUS-guided gallbladder drainage with Hot AXIOS integrated in their pathway.
Multiple Perspectives on EUS-GBD
We have partnered with Global Business Media to create this special report composed of eight fascinating articles on EUS-GBD: Advancing the Treatment of Acute Cholecystitis and the Role of Endoscopic Ultrasound-Guided Gallbladder Drainage.
“For a technique to be successful, it is important that it is applied and taught correctly, as well as positioned within the therapeutic algorithm – all of this has to be combined with a multidisciplinary approach.”
Dra Carme Loras, MD, PhD
Head of the Gastroenterology Department
Hospital Universitari Mútua de Terrassa
Universitat de Barcelona, Spain
“EUS-GBD has revolutionized mainstream treatment in patients with high-risk AC, with a high technical (94-100%) and clinical success rates (81.3-95.1%)1, 2, 3 ”
Dr Enrique Pérez-Cuadrado-Robles,
Department of Gastroenterology. Georges-Pompidou European Hospital, APHP Centre, Paris, France.
University of Paris-Cité, Paris, France.
“Electrocautery-enhanced lumen-apposing metal stent (EC-LAMS) placement via EUS-GBD has transformed the landscape of acute cholecystitis management as drainage can be quickly and immediately internalised without the need for multiple devices and exchanges.”
Dr Bharat Paranandi
BSc (Hons) MBBS FRCP (Gastroenterology).
Consultant in Gastroenterology & Pancreatobiliary Medicine (Leeds Teaching Hospitals NHS Trust).
Honorary Senior Lecturer (School of Medicine, University of Leeds), UK
“PT-GBD and EUS-GBD approaches have been comparatively evaluated in multiple observational and randomized studies. [...] these methods [...] can be complementary or integrate a step-up strategy”
Dr Tom Boeken
Department of Interventional Radiology, Georges-Pompidou European Hospital, APHP.Centre, Paris, France.
University of Paris-Cité, Paris, France.
“In high volume centres the use of EUS-GBD in the future will be the principal non-operative tool.”
Dr Hayato Kurihara
Department of Emergency Surgery Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Italy
“The key point in the successful treatment of fragile patients with AC is the multidisciplinary approach.”
Dr Matteo Maria Cimino
Department of Emergency Surgery Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Italy
Hear from a surgeon’s perspective on GBD with Hot AXIOS
Watch Dr Hayato Kurihara from Clinical Referral of the Emergency Surgery department of Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico in Milan (Italy), as he shares his insights on gallbladder drainage using Hot AXIOSTM Stent and Electrocautery Enhanced Delivery System.
How and when to involve your endoscopist?
“I involve the endoscopist very soon when facing a patient with acute cholecystitis and frailty […] we start with the multi-disciplinary approach for this patient”
Guidelines and Pathways
“Local pathways for these type of patients. These pathways can be a little bit different from hospital to hospital as you have to consider the logistics, the interventional radiologist, and endoscopy availability”
Your Partner to Help You Drive the Change in the Patient Pathway Through the Multi-Disciplinary Team (MDT)
As the previous resources pointed out, to advance the treatment of acute cholecystitis and to establish EUS-GBD in the patient pathway, it is key to involve the whole healthcare team in a MDT.
We understand that not every specialist may be as aware and/or up to date with the latest information on different treatments, and therefore it may take a lot of time and effort to educate the rest of the team and reach an agreement. This is why we have created a “Acute Cholecystitis Patient Pathway Optimisation - Meeting in a Box”. This is a collection of presentations, info sheets and tools on this topic that you can leverage when you look into optimising your hospital’s patient’s flow.
Presentations
Endoscopy foundations nurse trainings
Advancing the Treatment of Acute Cholecystitis Report
Want to see what the Meeting in a Box can offer you and your team?
Enabling efficient and effective treatment procedures
Explore the treatment options for acute cholecystitis, clinical results, the roles of each specialist on a care team in optimizing patient pathway and their collaborative efforts in providing optimal care for patients.
