Endoscopic drainage aborts endotoxaemia in acute cholangitis

J. Y W Lau, S. M. Ip, S. C S Chung, Joseph Leung, T. K W Ling, M. Y. Yung, A. K C Li

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Abstract

Forty patients with acute calculous cholangitis had successful endoscopic drainage. Bile from nasobiliary drains and venous blood was collected at 0, 12, 24, 36 and 48 h after endoscopy. Endotoxin levels were measured by the chromogenic Limulus Amoebocyte Lysate assay. There was a significant reduction in both bile and serum endotoxin levels after endoscopic drainage (P<0.001). Endotoxaemia occurred when bile endotoxin reached 103 EU/ml and rose exponentially beyond this threshold. Significant association was demonstrated between both bile and serum endotoxins to the clinical features of cholangitis (P < 0.05). No correlation was evident between serum endotoxin and the parameters of white cell count, serum bilirubin and alkaline phosphatase (r=0.53, 0.00 and 0.00 respectively). Endoscopic drainage is effective in lowering bile and serum endotoxin levels and clinical signs and symptoms reliably predict endotoxaemia.

Original languageEnglish (US)
Pages (from-to)181-184
Number of pages4
JournalBritish Journal of Surgery
Volume83
Issue number2
DOIs
StatePublished - 1996
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

Cite this

Lau, J. Y. W., Ip, S. M., Chung, S. C. S., Leung, J., Ling, T. K. W., Yung, M. Y., & Li, A. K. C. (1996). Endoscopic drainage aborts endotoxaemia in acute cholangitis. British Journal of Surgery, 83(2), 181-184. https://doi.org/10.1002/bjs.1800830210