Is nasobiliary drainage unnecessary for drainage of acute suppurative cholangitis? Our experience.
作者： Hiroki Kawashima , Akihiro Itoh , Eizaburo Ohno , Hidemi Goto , Yoshiki Hirooka
DOI: 10.1111/J.1443-1661.2010.00959.X
关键词:
摘要: Two randomized controlled trials comparing endoscopic nasobiliary drainage (ENBD) and internal biliary (internal EBD) for acute suppurative cholangitis (ASC) showed no significant difference in efficacy both preferred EBD to ENBD. In this study, the necessity of ENBD was re-examined. Over five years, 59 patients underwent an emergency procedure ASC our institute. If needed, we selected as a first choice used predicted have early obstruction tube or retrograde infection bile duct. The rate ENBD, which reason selected, were examined retrospectively. patients, 40 had stones completely removed without drainage, two performed removal seven after stones. terms white blood cell count direct bilirubin level, observed between patients. mainly with multiple strictures, hemorrhage tendency excessive purulent bile. Even though is suitable many necessary
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