Emergency Nasobiliary Drainage in Acute Suppurative Cholangitis / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 390-395, 1997.
Article
en Ko
| WPRIM
| ID: wpr-147294
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS: Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of biliary tree such as endoscopic, percutaneous or surgical, We evaluated the role of emergency endoscopic nasobiliary drainage(ENBD) in the acute suppurative cholangitis. METHODS: For 55 patients with acute calculous cholangitis, who did not respond to conservative management and the stone could not be removed from bile duct by endoscopic papillotomy due to poor condition or bleeding tendency, ENBD tube(7.5Fr) was inserted at proximal side of obstruction. ENBD was done at 39.4 hours (mean) after arrival to hospital. RESULTS: ENBD was successful in all patients (100%). All patients responded with striking improvement of the abdominal pain, fever and stabilized vital signs within 3 days. After patients conditions were stabilized clinically, common bile duct stones were removed successfully by endoscopic sphincterotomy or surgery. No patients died of acute suppurative cholangitis. CONCLUSION: These results show that ENBD is a simple, safe, and effective measure for the initial control of acute suppurative cholangitis due to cholelithiasis.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Huelga de Empleados
/
Conductos Biliares
/
Sistema Biliar
/
Colelitiasis
/
Dolor Abdominal
/
Drenaje
/
Colangitis
/
Mortalidad
/
Esfinterotomía Endoscópica
/
Conducto Colédoco
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
1997
Tipo del documento:
Article