Endoscopic nasobiliary drainage in acute suppurative cholangitis.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Supuración
/
Sistema Biliar
/
Anciano de 80 o más Años
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Colelitiasis
/
Drenaje
/
Colangitis
Límite:
Aged80
Idioma:
Inglés
Año:
1994
Tipo del documento:
Artículo
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