Endoscopic nose biliary drainage through endoscopic retrograde cholangiopancreatography to treat for elderly patients with acute severe cholangitis in primary hospital
10.3760/cma.j.issn.1673-4904.2014.19.018
- VernacularTitle:内镜下逆行性胰胆管造影术联合内镜下鼻胆管引流术治疗高龄重症胆管炎在基层医院的应用
- Author:
Yang WANG
;
Xiancang SHENG
;
Haiying XU
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Cholangitis;
Aged;
Endoscopic nose biliary drainage;
Primary hospital
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(19):50-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect and safety of endoscopic nose biliary drainage (ENBD) through endoscopic retrograde cholangiopancreatography (ERCP) to treat for elderly patients with acute severe cholangitis in primary hospital.Methods Forty-two elderly patients with acute severe cholangitis were collected,the patients received ENBD through ERCP.The changes of clinical symptoms and signs,imaging examinations and laboratory examinations before and after treatment were compared.Results All 42 patients received ENBD through ERCP,40 patients were cured,1 patient failed in ERCP and then was turned to surgical operation,and 1 patient whose cholangitis condition got better died of respiratory failure because of chronic obstructive pulmonary disease (COPD).Conclusion ENBD through ERCP is a safety and effective treatment which was used to treat for elderly patients with acute severe cholangitis in primary hospital,so this technique is worthy popularizing in primary hospital.
