Acute gangrenous cholecystitis after endoscopic sphincterotomy:a report of 16 cases
10.3760/cma.j.issn.1007-5232.2009.02.007
- VernacularTitle:内镜下乳头括约肌切开术后急性坏疽性胆囊炎16例分析
- Author:
Bei LU
;
Guanghua FENG
- Publication Type:Journal Article
- Keywords:
Cholecystitis,acute;
Gangrenosum;
Endoscopic sphincterotomy;
Endoscopic retrograde cholangiopancreatography;
Postoperative complications
- From:
Chinese Journal of Digestive Endoscopy
2009;26(2):73-75
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes and surgical management of acute gangrenous cholecvstitis(AGC)after endoscopic sphincterotomy(EST).Methods Clinical and pathological data of 1066 patients who underwent EST from June 2003 to January 2007 were analyzed retrospectively.ResultsAGC was complicated in 16 patients(16/1066,1.5%),who underwent emergency operations and no death occurred.During the follow-up period of 4 to 36 months,no infection or obstruction was found.Conclusion Difficuitv in EST manipulation and biliary obstrucion might play a leading role in AGC after EST,and early surgical intervention is effective.
