Nonsurgical Treatment Options for Acute Cholecystitis

This technical report outlines various nonsurgical treatment options for acute cholecystitis, emphasizing the importance of a multidisciplinary approach in patient management. It begins by detailing the incidence of acute cholecystitis and the typical surgical intervention, laparoscopic cholecystectomy, which is often preferred due to its associated benefits. The report discusses the risks involved in this procedure, particularly in patients with severe comorbidities who may not be suitable candidates for surgery. Alternative nonsurgical interventions such as Percutaneous Transhepatic Gallbladder Drainage (PT-GBD) and Endoscopic Ultrasound-Guided Gallbladder Drainage (EUS-GBD) are presented, highlighting their effectiveness and associated risks. The report also addresses the decision-making process involved in selecting appropriate treatment options, underlining the collaborative roles of surgeons, gastroenterologists, and interventional radiologists. Additionally, it notes the lack of standardized criteria for defining surgical candidacy and the need for institutional protocols to guide treatment decisions.