Endoscopic biliary drainage by 7 Fr or 10 Fr stent placement in patients with acute cholangitis.

摘要: Background and Study Aims Endoscopic biliary drainage is an established mode of treatment for acute cholangitis. We compared the safety efficacy 7 Fr 10 stent placement in patients with Patients Methods recruited 40 severe cholangitis who required endoscopic drainage. were randomized to have either a or straight flap during endoscopy. Outcome measures included complications related retrograde cholangiopancreatography (ERCP) clinical outcome. Results Of patients, 20 group group. All had obstruction due stones common bile duct. Indications were: fever >100.4°F (n = 27), hypotension 6), peritonism 10), impaired consciousness 8), failure improve conservative management 13). Biliary was achieved all patients. Abdominal pain, fever, jaundice, hypotension, peritonism, altered sensorium improved after median period 3 days both groups. Leukocyte counts became normal time 4 6 There no ERCP-related complications. instances occlusion migration stent. The success rates not affected by size used. Conclusions equally safe effective