Cholangitis and endoscopic drainage Lai ECS, Mok FPT, Tan ESY, Lo C-M, Fan S-T, You K-T, Wong J. Endoscopic biliary drainage for severe acute cholangitis. N Engl J Med 1992;326:1582–1586

Hepatology ◽  
1992 ◽  
Vol 16 (5) ◽  
pp. 1302-1303
Author(s):  
J Barnett
Keyword(s):  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Endoscopic Drainage ◽  
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 Effectiveness of the endoscopic treatment for malignant extrahepatic biliary obstruction

2018 ◽  
Vol 22 (3) ◽  
pp. 509-512
Author(s):  
I.N. Mamontov ◽  
T.I. Tamm ◽  
K. A. Kramarenko ◽  
A. I. Bardiuk
Keyword(s):  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Pancreatic Head ◽  
Mean Value ◽  
Endoscopic Drainage ◽  
Endoscopic Biliary Drainage ◽  
Level Data ◽  
Extrahepatic Biliary Obstruction ◽  
Distal Obstruction ◽  
Pancreatic Head Carcinoma

The causes of malignant extrahepatic biliary obstruction (MEBO) are pancreatic head carcinoma, ampulloma, cholangiocarcinoma, gall bladder cancer, less often — metastatic lymph nodes. Endoscopic biliary drainage (EBD) of extrahepatic ducts (ED) including stent placement plays a key role for cholestasis resolving. Aim — to evaluate the effectiveness of EBD in case of MEBO, depending on its level. Data of 36 patients with MEBO treated with EBD were retrospectively analyzed. Statistic methods: mean value and standart diviation were used. Ampulloma was the cause of MEBO in 7 cases, EBD was effective in all of them. Of 18 patients with MEBO at the level of distal 1/3 of ED, EBD was effective in 13. In the case of an MEBO of the middle 1/3of ED, EBD was successful in 3 of 6 patients, in the proximal 1/3 — in 3 out of 5. Thus, endoscopic biliary drainage was successful in 72% cases of malignant biliary obstruction. In case of obstruction at the papilla level, the success of endoscopic drainage has been achieved in all cases. Failure of EBD was due to inability of performing ERCP — mainly in cases of distal obstruction and the inability to get through obstruction — in the middle and proximal sections of the extrahepatic biliary tract.

Role of Interventional Radiology in the Management of Acute Cholangitis

2021 ◽  
Vol 38 (03) ◽  
pp. 321-329
Author(s):  
Pouya Entezari ◽  
Jonathan A. Aguiar ◽  
Riad Salem ◽  
Ahsun Riaz
Keyword(s):  
Interventional Radiology ◽  
Biliary Drainage ◽  
Multiorgan Failure ◽  
Acute Cholangitis ◽  
Review Article ◽  
Endoscopic Drainage ◽  
Local Infection ◽  
General Management ◽  
Fatal Sepsis

AbstractAcute cholangitis presents with a wide severity spectrum and can rapidly deteriorate from local infection to multiorgan failure and fatal sepsis. The pathophysiology, diagnosis, and general management principles will be discussed in this review article. The focus of this article will be on the role of biliary drainage performed by interventional radiology to manage acute cholangitis. There are specific scenarios where percutaneous drainage should be preferred over endoscopic drainage. Percutaneous transhepatic and transjejunal biliary drainage are both options available to interventional radiology. Additionally, interventional radiology is now able to manage these patients beyond providing acute biliary drainage including cholangioplasty, stenting, and percutaneous cholangioscopy/biopsy.

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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