doi: 10.1016/s0140-6736(89)92696-2.
Urgent endoscopic drainage for acute suppurative cholangitis
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- PMID: 2566834
- DOI: 10.1016/s0140-6736(89)92696-2
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Urgent endoscopic drainage for acute suppurative cholangitis
Lancet.
.
Abstract
105 patients with acute calculous cholangitis who did not respond to conservative management underwent urgent endoscopic drainage of the biliary system at a mean of 1.5 days after admission. Treatment was successful in 102 (97%) patients. 3 of the patients in whom drainage was not successful underwent emergency surgery, with 1 death. 3 patients died of uncontrolled sepsis despite successful endoscopic drainage. 1 patient died of a stroke. The overall mortality was 4.7%. Among those in shock 2 out of 4 drained after 72 h died, compared with 3 out of 38 drained before 72 h. There were no deaths in the group without shock irrespective of the timing of drainage.
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