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.
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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