Evaluation on Treatment of Patients with Acute Obstructive Suppurative Cholangitis under Ergency Endoscopy

VernacularTitle:内镜治疗急性梗阻性化脓性胆管炎的疗效评价
Author: Jian ZHANG
Publication Type:Journal Article
Keywords: Cholangitis,obstructive,suppurative; Cholangiopancreatography,endoscopic retrograde
From: Chinese Journal of Primary Medicine and Pharmacy 2012;(22):3381-3382
CountryChina
Language:Chinese
Abstract: Objective To investigate the efficacy of emergency endoscopy for the treatment of patients with acute obstructive suppurative cholangitis(AOSC)and the difference compared with therapy of routine operation.Methods After ERCP were performed on 36 patients with AOSC,EST and/or ENBD were executed subsequently.To those asthenic patients complicated with diseases or tumors,ENBD was used to alleviate symptoms and then decided whether to take stones secondly or drain by ERBD.Biochemical indicators,physical sysmtoms and signs were monitored so as to compare with those of 32 patients with AOSC treated by routine operation.Results The clinical effect was satisfactory,and the relief of pain,incidence of complicated diseases,hospital stay,level of serum TBIL after treatment had significant difference between those in study group and in control group(all P＜0.05).Conclusion Endoscopic therapy is safe,easy and minimally invasive,which is suitable for the patients with AOSC.