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Cholecystitis Outcomes in the Investigation of Cholecystectomy Versus EUS-GBD

RecruitingNAAges 75 Years - anyAllOulu University Hospital
NCT07678541 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Acute cholecystitis is common in elderly patients and becomes more frequent with increasing age. Standard treatment is laparoscopic cholecystectomy (LCC), but operative treatment may be associated with increased risk in older patients with substantial comorbidity or reduced tolerance of general anesthesia. Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is a minimally invasive internal drainage procedure performed through the stomach or duodenum using endoscopic ultrasound guidance and a lumen-apposing metal stent. This approach may provide an alternative to operative treatment in selected elderly patients. The CHOICE study (CHolecystitis Outcomes in the Investigation of Cholecystectomy versus EUS-GBD) is a multicenter randomized controlled trial comparing EUS-GBD with LCC in patients aged 75 years or older with acute cholecystitis. Participants are randomly assigned to und

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 75 years or older. * Radiologically confirmed acute cholecystitis. * Elevated inflammatory parameters. * Able to provide written informed consent. * Able to complete follow-up questionnaires. Exclusion Criteria: * Age under 75 years. * Considered unfit for surgery. * ASA physical status classification below III. * Unwillingness to participate in follow-up assessments. * Lack of written informed consent. * Clinical Frailty Scale score of 8 or higher.
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What it tests

  • LCC
  • EUS-GBD
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Where

1 site
Oulu University Hospital
Oulu, Finland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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