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 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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