| Autor: |
Audisio, Riccardo A., Morosi, Carlo, Bozzetti, Federico, Cozzi, Guido, Bellomi, Massimo, Pisani, Paola, Pestalozza, Alessandra, Gennari, Leandro, Severini, Aldo |
| Jazyk: |
angličtina |
| Rok vydání: |
1993 |
| Předmět: |
|
| Zdroj: |
HPB Surgery. |
| ISSN: |
0894-8569 |
| DOI: |
10.1155/1993/17078 |
| Popis: |
The purpose of this paper is to evaluate factors affecting the outcome of cholangitis after PTBD in jaundiced cancer patients. Twenty nine patients with neoplastic jaundice (male/female ratio 13/16, median age 55 years) with full clinical data, were treated by PTBD and developed cholangitis at a median of 9 days later. Four patients (14%) died of biliary sepsis a median of one month after PTBD while the other 25 survived a median of 6 months, with one week median duration of cholangitis. The probability of the cholangitis resolving was analyzed by time to resolution and it was found that 50% and 100% of the recoveries occurred 5 and 9 months respectively from the onset of the complication.The series was analyzed to determine the role of several variables (disease/patient/treatment related) in the resolution of cholangitis. Only a low stricture site, a large initial drainage catheter (10F) and a temperature increase exceeding 39° C were correlated with a positive outcome. We conclude that PTBD-related cholangitis has, in our experience, a good chance of cure, low mortality rate and satisfactory 6 months median survival. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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