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Endoscopic nasobiliary drainage in acute suppurative cholangitis.
Article in English | IMSEAR | ID: sea-64916
ABSTRACT

BACKGROUND:

Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of the biliary tree, endoscopic, percutaneous or surgical.

AIMS:

To study the effect of emergency endoscopic nasobiliary drainage (ENBD) in acute suppurative calculous cholangitis.

METHODS:

In 37 patients with calculous cholangitis, an endoscopic nasobiliary drain (7 F) was placed in the biliary tree above the site of obstruction to ensure continuous biliary drainage.

RESULTS:

Success rate was 100% and there was no mortality. ENBD was performed in 4 very sick patients without the aid of fluoroscopy. Cholangitis improved in 36 of 37 patients within 12-24 hours. When the clinical condition improved, all the 36 patients were taken up for elective biliary surgery or endoscopic sphincterotomy and stone extraction.

CONCLUSIONS:

Emergency endoscopic nasobiliary drainage is an effective method in managing patients with acute suppurative calculous cholangitis.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Suppuration / Biliary Tract / Aged, 80 and over / Aged / Female / Humans / Male / Cholelithiasis / Drainage / Cholangitis Limits: Aged80 Language: English Year: 1994 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Main subject: Suppuration / Biliary Tract / Aged, 80 and over / Aged / Female / Humans / Male / Cholelithiasis / Drainage / Cholangitis Limits: Aged80 Language: English Year: 1994 Type: Article