Emergency Nasobiliary Drainage in Acute Suppurative Cholangitis.
- Author:
Jeong Ill SUH
1
;
Byeong Ik JANG
;
Chan Won PARK
;
Tae Nyeun KIM
;
Moon Kwan CHUNG
Author Information
1. Department of Internal Medicine, Yeungnam University, College of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Acute suppurative cholangitis;
Endoscopic nasobiliary drainage(ENBD);
Cholelithiasis
- MeSH:
Abdominal Pain;
Bile Ducts;
Biliary Tract;
Cholangitis*;
Cholelithiasis;
Common Bile Duct;
Drainage*;
Emergencies*;
Fever;
Hemorrhage;
Humans;
Mortality;
Sphincterotomy, Endoscopic;
Strikes, Employee;
Vital Signs
- From:Korean Journal of Gastrointestinal Endoscopy
1997;17(3):390-395
- CountryRepublic of Korea
- Language:Korean
-
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.
