We thank the authors for their interest in our report on endoscopic ultrasound-guided gallbladder drainage (EUS-GBD).1 Management of gallbladder disease is not within the sole domain of gastroenterologists. It includes surgeons and interventional radiologists. When guidelines are developed without multidisciplinary consensus, problems can occur as reported in our series.2 The distinction between never-surgery and high-risk surgical patients is more than semantics. The former includes patients with end-stage lung disease such as pulmonary hypertension, irreversible severe vascular disease, end-stage cardiac disease in non-transplant patients, active inoperable malignancy and liver cirrhosis with portal hypertension. Performing EUS-GBD in this patient cohort is a no-brainer. In others, multidisciplinary consensus is critical.3 The multicentre case-control (1:2 match between EUS and percutaneous cohorts) study cited by authors in defence of EUS is retrospective, underpowered and does not stratify for disease severity.4 In …

中文翻译：

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急性胆囊炎中 EUS 引导下的胆囊引流：对给编辑的信的回应


我们感谢作者对我们关于内窥镜超声引导下胆囊引流 （EUS-GBD） 的报告的关注。胆囊疾病的管理不属于胃肠病学家的唯一领域。它包括外科医生和介入放射科医生。当在没有多学科共识的情况下制定指南时，可能会出现问题，正如我们的系列报道的那样。2 从未手术的患者和高危手术患者之间的区别不仅仅是语义。前者包括肺动脉高压等终末期肺病患者、不可逆的严重血管疾病患者、非移植患者的终末期心脏病患者、活动性不能手术的恶性肿瘤和肝硬化伴门静脉高压症患者。在该患者队列中执行 EUS-GBD 是显而易见的。在其他情况下，多学科共识至关重要.3 作者为捍卫 EUS 而引用的多中心病例对照（EUS 和经皮队列之间的 1：2 匹配）研究是回顾性的，把握度不足，并且没有根据疾病严重程度进行分层.4 在......