Emergency endoscopic intervention in acute obstructive suppurative cholangitis complicated with septic shock
10.3760/cma.j.issn.1007-5232.2012.10.009
- VernacularTitle:内镜急诊治疗急性梗阻化脓性胆管炎合并感染性休克
- Author:
Xiaopeng WANG
;
Ping HUANG
;
Yaqing WANG
;
Ting ZHAO
;
Fengchun CAI
;
Wen LI
- Publication Type:Journal Article
- Keywords:
Cholangitis;
Shock,septic;
Cholangiopancreatography,endoscopic retrograde;
Emergency treatment;
Shock index
- From:
Chinese Journal of Digestive Endoscopy
2012;29(10):568-571
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of emergency endoscopic intervention in acute obstructive suppurative cholangitis (AOSC) complicated with septic shock.Methods A total of 54 patients with AOSC and septic shock who underwent therapeutic emergency ERCP were included in this retrospective study,and were evaluated by the shock index (SI).Results ERCP was performed for all patients in 24hours after hospitalization,and the average ERCP operation time was 23.8 ± 12.5 min.All 54 patients underwent EST,46 of whom received ENBD,7 biliary stenting and 1 transferred to surgery due to bleeding.The post-ERCP mortality rate was 0,and the complications included 1 case of pancreatitis and 2 cases of pneumonia.The positive rate ofGram-Negative bacillus before ERCP was 46.9％ (15/32).The SI before ERCP was 1.250 ±0.200,which decreased to 0.950 ±0.119 at 2hr after the procedure (P ＜0.001 ),and decreased further to 0.598 ± 0.099 ( P ＜ 0.001 ) at 24 hours after ERCP.Conclusion Therapeutic emergency ERCP is of great importance in the treatments for AOSC complicated with septic shock.
