Endoscopic Management of Cholecystitis

In this presentation, Dr. Jose Luis Aranez, M.D. introduces a case of a patient who was transferred from an outside hospital for management of acute cholecystitis. The patient was not a surgical candidate due to cardiovascular complications and was, therefore, referred for endoscopic management. Dr. Aranez discusses studies of national trends in cholecystitis prevalence and care, as well as diagnostic criteria and nonsurgical approaches to management, including endoscopic and percutaneous options.

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

Needs Statement

Gastroenterologists, hepatologists, fellows, residents, nurse practitioners, physician assistants, and other health care practitioners need to be regularly updated on the advances in guidelines, basic science and clinical research, management strategies and standards of care in gastroenterology and hepatology. The series aims to increase knowledge and skills of the learners in these topic areas in order to enhance the quality of care and improve patient outcomes.

Objectives

At the conclusion of the sessions, the participants should be able to:

  • Describe national trend and burden of cholecystitis in the United States.
  • Introduce the Tokyo classification for diagnostic criteria and grading severity of cholecystitis.
  • Briefly discuss nonsurgical alternatives such as percutaneous approaches.
  • Explore alternative endoscopic approaches such as the ERCP-guided transpapillary and the EUS-guided transmural approaches.

Target Audience

  • Physicians
  • Fellows
  • Residents
  • Nurses
  • Other Health Professionals

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

  1. Clark Hair, M.D.

    Clark Hair, M.D.

    Assistant Professor
    Baylor College of Medicine

Term of Approval

April 1, 2020 through April 30, 2022. Original release date: April 1, 2020.

Disclosure Policy

The Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial SupportSM, Baylor College of Medicine (BCM) has implemented a mechanism requiring everyone in a position to control the content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

Baylor College of Medicine does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.

If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the questions about balance in the CME activity evaluation candidly.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenter

  1. Jose Luis Aranez, M.D.

    Jose Luis Aranez, M.D.

    Instructor of Medicine and Advanced Endoscopy Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Program Director

  1. Clark Hair, M.D.

    Clark Hair, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Planning Committee Members

  1. Clark Hair, M.D.

    Clark Hair, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Jason Ken Hou, M.D., M.S., F.A.C.G.

    Jason Ken Hou, M.D., M.S., F.A.C.G.

    Associate Professor
    Baylor College of Medicine

    Disclosure:
    • Research Support: AbbVie; Boehringer Ingelheim; Celgene; Eli Lilly; Genentech; Janssen; Pfizer
    • Speakers Bureau Membership: AbbVie; Janssen; Pfizer
  3. John I. Hughes, M.D.

    John I. Hughes, M.D.

    Clinical Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Milena Gould Suarez, M.D.

    Milena Gould Suarez, M.D.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Contributor

  1. Jose Luis Aranez, M.D.

    Jose Luis Aranez, M.D.

    Instructor of Medicine and Advanced Endoscopy Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

CME Credit Available

You may claim CME credit after watching this activity.

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Presenter:

  1. Jose Luis Aranez, M.D.

    Jose Luis Aranez, M.D.

    Instructor of Medicine and Advanced Endoscopy Fellow Baylor College of Medicine