Endoscopic Biliary Drainage by 7 Fr or 10 Fr Stent Placement in Patients with Acute Cholangitis

2008 ◽  
Vol 54 (6) ◽  
pp. 1355-1359 ◽  
Author(s):  
B. C. Sharma ◽  
N. Agarwal ◽  
P. Sharma ◽  
S. K. Sarin
Keyword(s):  
Stent Placement ◽  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage

Endoscopic Biliary Drainage by Nasobiliary Drain or by Stent Placement in Patients with Acute Cholangitis

Endoscopy ◽  
2005 ◽  
Vol 37 (05) ◽  
pp. 439-443 ◽  
Author(s):  
B. Sharma ◽  
R. Kumar ◽  
N. Agarwal ◽  
S. Sarin
Keyword(s):  
Stent Placement ◽  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage

Emergency endoscopic biliary drainage for acute cholangitis

1999 ◽  
Author(s):  
Tat-chi Ziea
Keyword(s):  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage

scholarly journals Sphincterotomy with endoscopic biliary drainage for severe acute cholangitis: a meta-analysis

2017 ◽  
Vol 05 (02) ◽  
pp. E103-E109 ◽  
Author(s):  
Tarek Sawas ◽  
Noura Arwani ◽  
Shadi Al Halabi ◽  
John Vargo
Keyword(s):  
Success Rate ◽  
Biliary Drainage ◽  
Meta Analysis ◽  
Acute Cholangitis ◽  
Endoscopic Drainage ◽  
Endoscopic Biliary Drainage ◽  
Significant Difference ◽  
Obstructive Cholangitis ◽  
Effective Drainage

Abstract Aims To investigate the role of endoscopic sphincterotomy (ES) with endoscopic biliary drainage (EBD) in acute severe obstructive cholangitis management by performing a meta-analysis of controlled trials. Method We searched PubMed and Embase for controlled studies that compared endoscopic drainage with ES versus Non-ES in acute obstructive cholangitis. Two reviewers selected the studies and extracted the data. Disagreement was addressed by a third reviewer. Heterogeneity of the studies was analyzed by Cochran’s Q statistics. A Mantel–Haenszel risk ratio was calculated utilizing a random effects model. Results Four controlled studies met our inclusion criteria with 392 participants (201 ES, 191 Non-ES). The outcomes were drainage insertion success rate, drainage effectiveness, post drainage pancreatitis, bleeding, procedure duration, perforation, cholecystitis, and 30-day mortality. Drainage insertion success rate was identical in both groups (RR: 1.00, 95 %CI% 0.96 – 1.04). Effective drainage was not significantly different (RR: 1.11, 95 %CI 0.73 – 1.7). There was no significant difference in the incidence of pancreatitis post EBD between the ES and Non-ES groups at 3 % and 4 %, respectively (RR: 0.73, 95 %CI 0.24 – 2.27). However, there was a significant increase in post EBD bleeding with ES compared to Non-ES (RR: 8.58, 95 %CI 2.03 – 36.34). Thirty-day mortality was similar between ES and Non-ES groups at 0.7 % and 1 %, respectively (RR: 0.5, 95 %CI 0.05 – 5.28). Conclusion Our findings show that EBD without ES is an effective drainage technique and carries less risk for post procedure bleeding. Patients who are critically ill and have coagulopathy should be spared from undergoing ES in the acute phase.

No Association of Timing of Endoscopic Biliary Drainage with Clinical Outcomes in Patients with Non-severe Acute Cholangitis

2018 ◽  
Vol 63 (7) ◽  
pp. 1937-1945 ◽  
Author(s):  
Ryunosuke Hakuta ◽  
Tsuyoshi Hamada ◽  
Yousuke Nakai ◽  
Hirofumi Kogure ◽  
Rie Uchino ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage

scholarly journals Endoscopic biliary drainage for severe acute cholangitis

1992 ◽  
Vol 15 (3) ◽  
pp. 137
Author(s):  
E. C. S. Lai ◽  
F. P. T. Mok ◽  
E. S. Y. Tan ◽  
C. M. Lo ◽  
S. T. Fan ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage

Initial experience of transnasal endoscopic biliary drainage without conscious sedation for the treatment of acute cholangitis (with video)

2008 ◽  
Vol 67 (2) ◽  
pp. 328-332 ◽  
Author(s):  
Takao Itoi ◽  
Takashi Kawai ◽  
Fumihide Itokawa ◽  
Atushi Sofuni ◽  
Toshio Kurihara ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Conscious Sedation ◽  
Acute Cholangitis ◽  
Initial Experience ◽  
Endoscopic Biliary Drainage

scholarly journals Antireflux Metal Stent for Initial Treatment of Malignant Distal Biliary Obstruction

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Shinichi Morita ◽  
Yasuaki Arai ◽  
Shunsuke Sugawara ◽  
Miyuki Sone ◽  
Yasunari Sakamoto ◽  
...  
Keyword(s):  
Stent Placement ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Rank Test ◽  
Food Impaction ◽  
Endoscopic Biliary Drainage ◽  
Metal Stent ◽  
Technical Success ◽  
Log Rank Test ◽  
Antireflux Valve

Objectives. To compare the use of an antireflux metal stent (ARMS) with that of a conventional covered self-expandable metal stent (c-CSEMS) for initial stenting of malignant distal biliary obstruction (MDBO). Materials and Methods. We retrospectively investigated 59 consecutive patients with unresectable MDBO undergoing initial endoscopic biliary drainage. ARMS was used in 32 patients and c-CSEMS in 27. Technical success, functional success, complications, causes of recurrent biliary obstruction (RBO), time to RBO (TRBO), and reintervention were compared between the groups. Results. Stent placement was technically successful in all patients. There were no significant intergroup differences in functional success (ARMS [96.9%] versus c-CSEMS [96.2%]), complications (6.2 versus 7.4%), and RBO (48.4 versus 42.3%). Food impaction was significantly less frequent for ARMS than for c-CSEMS (P=0.037), but TRBO did not differ significantly between the groups (log-rank test, P=0.967). The median TRBO was 180.0 [interquartile range (IQR), 114.0–349.0] days for ARMS and 137.0 [IQR, 87.0–442.0] days for c-CSEMS. In both groups, reintervention for RBO was successfully completed in all patients thus treated. Conclusion. ARMS offers no advantage for initial stent placement, but food impaction is significantly prevented by the antireflux valve.

scholarly journals Endoscopic Biliary Drainage for Severe Acute Cholangitis

1992 ◽  
Vol 326 (24) ◽  
pp. 1582-1586 ◽  
Author(s):  
Edward C.S. Lai ◽  
Francis P.T. Mok ◽  
Eliza S.Y. Tan ◽  
Chung-mau Lo ◽  
Sheung-tat Fan ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Biliary Drainage
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