Avoiding the tube: ERCP and EUS approaches to gallbladder drainage as alternatives to percutaneous cholecystostomy in patients with cholecystitis

Cholecystitis has, for all intents and purposes, not been a disease that gastroenterologists have historically been called upon to treat. The lines of demarcation were clear and well understood. Patients with cholecystitis were the purview of surgeons who would perform cholecystectomy (CCY) whenever possible. Patients who were thought to be unfit for CCY were handed off to interventional radiologists for placement of a percutaneous cholecystostomy tube (which was often placed on a long-term or permanent basis and referred to as "destination therapy").

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