Olympus reviewed the following literature titled " endoscopic ultrasound-guided gallbladder drainage: beyond cholecystitis.".Literature summary: endoscopic ultrasound-guided gallbladder drainage (eus-gbd) is an alternative to surgery for acute cholecystitis (ac) in poor operative candidates.However, the role of eus-gbd in non-cholecystitis (nc) indications has not been well studied.We compared the clinical outcomes of eus-gbd for ac and nc indications.Consecutive patients undergoing eus-gbd for all indications at a single center were retrospectively analyzed.Fifty-one patients underwent eus-gbd during the study period.Thirty-nine (76%) patients had ac while 12 (24%) had nc indications.Nc indications included malignant biliary obstruction (n = 8), symptomatic cholelithiasis (n = 1), gallstone pancreatitis (n = 1), choledocholithiasis (n = 1), and mirizzi¿s syndrome (n = 1).Technical success was noted in 92% (36/39) for ac and 92% (11/12) for nc (p > 0.99).The clinical success rate was 94% and 100%, respectively (p > 0.99).There were four adverse events in the ac group and 3 in the nc group (p = 0.33).Procedure duration (median 43 vs.45 min, p = 0.37), post-procedure length of stay (median 3 vs.3 days, p = 0.97), and total gallbladder-related procedures (median 2 vs.2, p = 0.59) were similar.Eus-gbd for nc indications is similarly safe and effective as eus-gbd in ac.Type of adverse events/number of patients: abdominal pain with hospitalization - 1 patient; bleeding requiring transfusions - 1 patient; bleeding requiring embolization of the gastroduodenal artery - 1 patient; pneumoperitoneum requiring exploratory laparotomy ¿ 1 patient; pneumoperitoneum requiring supportive care with intravenous fluids and antibiotics ¿ 1 patient; respiratory failure requiring ventilation and additional stay in the intensive care unit ¿ 1 patient; cholecystocolonic fistula requiring stent removal and gastric clips for closure ¿ 1 patient.Two patients had reportedly died.It was reported these deaths were unrelated to procedures or the devices in use during the procedures.This literature article requires 2 reports.The related patient identifiers are as follows: -b)(6): gf-uct180 evis exera ii ultrasound gastrovideoscope; (b)(6): g-240-2545s single use guidewire.This medical device report is for patient identifier (b)(6).There is no report of any olympus device malfunction in any procedure described in this study.
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