Endoscopic biliary drainage for acute obstructive cholangitis: Effects of bilionasal drainage and stent placement

Autor: Torahiko Takeda, Yoshiaki Ogawa, Gen Naritomi, Hiroyuki Konomi, Kazunori Yokohata, Hiroaki Matsunaga, Masao Tanaka
Rok vydání: 1996
Předmět:
Zdroj: Journal of Hepato-Biliary-Pancreatic Surgery. 3:27-32
ISSN: 1436-0691
0944-1166
Popis: Acute obstructive suppurative cholangitis is a life-threatening condition which requires prompt biliary decompression. A retrospective review of 92 patients with acute obstructive suppurative or nonsuppurative cholangitis (46 men and 46 women with a mean age of 65.1 years) was conducted. All patients had undergone endoscopic biliary decompression by retrograde cannulation with (79 patients) or without (13 patients) sphincterotomy. Nineteen patients had received sphincterotomy previously. In addition to biliary decompression, 48 of the 92 patients had a bilionasal catheter or a stent placed in the common bile duct (group A), while the other 44 patients did not (group B). The effect of drainage was successful in 83 of the 92 patients (90%), but 1 patient in group A died of liver failure due to advanced cirrhosis of the liver despite successful drainage; thus, the overall mortality rate was 1.1%. Although the mortality and overall morbidity rates (2.1% and 42% in group A, and 0% and 34% in group B, respectively) did not differ between the two groups, the frequency of recurrent cholangitis was significantly higher in group B (60%) than in group A (4.2%) (P
Databáze: OpenAIRE
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