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- W3029046503 abstract "ObjectiveTo determine the best endoscopic treatment for acute obstructive suppurative cholangitis(AOSC).MethodsData of 93 patients who were diagnosed as having AOSC in endoscopic center in the last three years were retrospectively analyzed. All patients were divided into three groups according to the different treatment methods: ENBD group, ENBD+ ERBD group and double ERBD group. Postoperative temperature, bilirubin levels and mortality were compared.ResultsFor patients with high level obstruction, incidence of fever in ENBD+ ERBD group and double ERBD group were significantly higher than that of ENBD group(1/18 VS 4/10, P<0.05; 0 VS 4/10, P<0.05). There were no significant differences in incidence of fever(1/18 VS 0) or bilirubin level decrease (17/18 VS 14/15) between ENBD+ ERBD group and double ERBD group. For high level obstruction, if the patient had biliary imaging with contrast medium during operation, they would have higher incidence of high fever[(4/10 VS 3.45%(1/28)] and mortality(3/11 VS 0), lower declining rate of bilirubin level [10/14 VS 96.55%(28/29)] than those without.ConclusionBoth left and right hepatic ducts drainage should be recommended for high level biliary obstruction. During the operation, contrast medium should be limited to minimum dose, and should be avoided in high level obstruction cases. Air biliary imaging could be used when necessary.Key words: Emergency; Cholangitis; Endoscopic therapy" @default.
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- W3029046503 date "2017-04-20" @default.
- W3029046503 modified "2023-09-23" @default.
- W3029046503 title "Emergency endoscopic treatment of acute obstructive suppurative cholangitis" @default.
- W3029046503 doi "https://doi.org/10.3760/cma.j.issn.1007-5232.2017.04.008" @default.
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