Endoscopic management of acute calculous cholangitis.

摘要: Acute cholangitis is associated with significant morbidity and mortality. Endoscopic drainage procedures have been shown to be a safe effective mode of treatment in acute cholangitis. As there paucity large series on endoscopic management cholangitis, study was performed evaluate safety efficiency biliary decompression The included 89 consecutive patients (mean age 55+/-15 years; range 35-70 50 males) requiring drainage. Main presenting features were upper abdominal pain (84%), fever chills (90%) jaundice (74%). Altered sensorium, hypotension, peritonitis renal failure present 15, 11, 18 5%, respectively. sphincterotomy (ES) stone extraction (n=40); ES nasobiliary (ENBD; n=30); ENBD without (n=8); stent placement (n=11). Of the patients, 85 (95%) responded within 48-72 h. common duct clearance could achieved 58 78 (74%) whereas 11 undergoing placement, not attempted. Complications post-sphincterotomy bleed (n=2), retroduodenal perforation (n=1) pancreatitis an overall complication rate 4.4%. All complications seen extraction. Mortality 3.3%. In conclusion, for or safer than as initial step.