Korean J Gastrointest Endosc.  1997 Jun;17(3):390-395.

Emergency Nasobiliary Drainage in Acute Suppurative Cholangitis

Affiliations
  • 1Department of Internal Medicine, Yeungnam University, College of Medicine, Taegu, Korea.

Abstract

BACKGROUND/AIMS: Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of biliary tree such as endoscopic, percutaneous or surgical, We evaluated the role of emergency endoscopic nasobiliary drainage(ENBD) in the acute suppurative cholangitis.
METHODS
For 55 patients with acute calculous cholangitis, who did not respond to conservative management and the stone could not be removed from bile duct by endoscopic papillotomy due to poor condition or bleeding tendency, ENBD tube(7.5Fr) was inserted at proximal side of obstruction. ENBD was done at 39.4 hours (mean) after arrival to hospital.
RESULTS
ENBD was successful in all patients (100%). All patients responded with striking improvement of the abdominal pain, fever and stabilized vital signs within 3 days. After patients conditions were stabilized clinically, common bile duct stones were removed successfully by endoscopic sphincterotomy or surgery. No patients died of acute suppurative cholangitis.
CONCLUSION
These results show that ENBD is a simple, safe, and effective measure for the initial control of acute suppurative cholangitis due to cholelithiasis.

Keyword

Acute suppurative cholangitis; Endoscopic nasobiliary drainage(ENBD); Cholelithiasis

MeSH Terms

Abdominal Pain
Bile Ducts
Biliary Tract
Cholangitis*
Cholelithiasis
Common Bile Duct
Drainage*
Emergencies*
Fever
Hemorrhage
Humans
Mortality
Sphincterotomy, Endoscopic
Strikes, Employee
Vital Signs
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