Abstract
Twenty-eight high risk patients with acute cholangitis due to large common bile duct stones underwent endoscopic stenting for biliary drainage. Seventeen patients were subsequently readmitted for stone extraction after a mean interval of 4 months, 13 on an elective basis and 4 because of recurrent cholangitis. Six patients were noted to have spontaneous reduction in stone size and two had complete stone disintegration. Endoscopic stone extraction was successful in 15 patients. Two patients in whom the stone extraction failed had their stents changed. Two patients died of nonbiliary related causes. The remaining patients were asymptomatic during a follow up period of 4 to 19 months. Endoscopic stenting provides effective temporary drainage for acute cholangitis. Elective stone extraction can be performed when sepsis is controlled. In elderly high risk patients, stenting can be used as a definitive treatment for large common duct stones.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 45-48 |
| Number of pages | 4 |
| Journal | Digestive Endoscopy |
| Volume | 6 |
| Issue number | 1 |
| State | Published - 1994 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Gastroenterology
Cite this
Endoscopic stenting for large common duct stones in patients with acute cholangitis. / Ismael, A. E.; Lai, C. W.; Sung, J. J Y; Chung, S. S C; Leung, Joseph.
In: Digestive Endoscopy, Vol. 6, No. 1, 1994, p. 45-48.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endoscopic stenting for large common duct stones in patients with acute cholangitis
AU - Ismael, A. E.
AU - Lai, C. W.
AU - Sung, J. J Y
AU - Chung, S. S C
AU - Leung, Joseph
PY - 1994
Y1 - 1994
N2 - Twenty-eight high risk patients with acute cholangitis due to large common bile duct stones underwent endoscopic stenting for biliary drainage. Seventeen patients were subsequently readmitted for stone extraction after a mean interval of 4 months, 13 on an elective basis and 4 because of recurrent cholangitis. Six patients were noted to have spontaneous reduction in stone size and two had complete stone disintegration. Endoscopic stone extraction was successful in 15 patients. Two patients in whom the stone extraction failed had their stents changed. Two patients died of nonbiliary related causes. The remaining patients were asymptomatic during a follow up period of 4 to 19 months. Endoscopic stenting provides effective temporary drainage for acute cholangitis. Elective stone extraction can be performed when sepsis is controlled. In elderly high risk patients, stenting can be used as a definitive treatment for large common duct stones.
AB - Twenty-eight high risk patients with acute cholangitis due to large common bile duct stones underwent endoscopic stenting for biliary drainage. Seventeen patients were subsequently readmitted for stone extraction after a mean interval of 4 months, 13 on an elective basis and 4 because of recurrent cholangitis. Six patients were noted to have spontaneous reduction in stone size and two had complete stone disintegration. Endoscopic stone extraction was successful in 15 patients. Two patients in whom the stone extraction failed had their stents changed. Two patients died of nonbiliary related causes. The remaining patients were asymptomatic during a follow up period of 4 to 19 months. Endoscopic stenting provides effective temporary drainage for acute cholangitis. Elective stone extraction can be performed when sepsis is controlled. In elderly high risk patients, stenting can be used as a definitive treatment for large common duct stones.
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UR - http://www.scopus.com/inward/citedby.url?scp=0028219801&partnerID=8YFLogxK
M3 - Article
VL - 6
SP - 45
EP - 48
JO - Digestive Endoscopy
JF - Digestive Endoscopy
SN - 0915-5635
IS - 1
ER -