We read with great interest the paper by Bang et al ,1 reporting their single-centre retrospective experience in 25 patients with acute cholecystitis, who were deemed at increased surgical risk and treated by EUS-guided gallbladder drainage (EUS-GBD) using LAMS. Three patients underwent surgery because of persistent biliary-type symptoms, but the presence of LAMS precluded successful laparoscopic cholecystectomy (LC) and open or subtotal cholecystectomy was required. Diverging from the recent guidelines of the European Society of Gastrointestinal Endoscopy and the American Gastroenterological Association,2 3 the authors concluded that EUS-GBD should only be considered in patients for whom surgery would never be an option. We thank Bang et al , for sharing their experience with these unfortunate surgical outcomes, which encourages further discussion on how to use this technique. However, some of the points raised in their study deserve …

中文翻译：

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手术风险高的急性胆囊炎患者在 EUS 引导下胆囊引流后进行胆囊切除术：朋友还是敌人？


我们饶有兴趣地阅读了 Bang 等人的论文，1 报告了他们对 25 名急性胆囊炎患者的单中心回顾性经验，这些患者被认为手术风险增加，并使用 LAMS 接受 EUS 引导的胆囊引流 （EUS-GBD） 治疗。3 例患者因持续的胆道型症状接受了手术，但 LAMS 的存在排除了成功的腹腔镜胆囊切除术 （LC） 和开腹或次全胆囊切除术。与欧洲胃肠内窥镜学会和美国胃肠病学协会最近的指南不同，2 3 作者得出结论，EUS-GBD 应仅用于永远无法选择手术的患者。我们感谢 Bang 等人分享他们处理这些不幸手术结果的经验，这鼓励进一步讨论如何使用这项技术。然而，他们的研究中提出的一些观点值得......