Acute bacterial cholangitis: an analysis of clinical manifestation
| Autor: | Michael L. Schwartz, Donald G. McQuarrie, Hatton W. Sumner, Melody J. O'Connor |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male medicine.medical_specialty Cholangitis Clinical manifestation Disease Gastroenterology Sepsis Bacterial cholangitis Internal medicine medicine Humans Aged Retrospective Studies Cholestasis Suppuration Common bile duct business.industry Suppurative cholangitis Retrospective cohort study Bacterial Infections Middle Aged medicine.disease Surgery medicine.anatomical_structure Liver business Medical therapy |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 117(4) |
| ISSN: | 0004-0010 |
| Popis: | • A retrospective study of 65 patients with biliary sepsis ana mechanical biliary obstruction, 19 of them with suppurative cholangitis (SC) and 46 with nonsuppurative cholangitis (NSC), was undertaken to identify distinguishing characteristics of the two forms of the disease. There were no statistically significant differences between SC and NSC based on histologic data, physical findings, or preoperative laboratory values. Mortality was significantly increased in patients with SC and in those with both forms of the disease who were given medical therapy alone. The treatment of choice for cholangitis with mechanical biliary obstruction is early operative drainage of the biliary tree, regardless of the presence or absence of suppuration in the common bile duct. ( Arch Surg 1982;117:437-441) |
| Databáze: | OpenAIRE |
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