URGENT ENDOSCOPIC DRAINAGE FOR ACUTE SUPPURATIVE CHOLANGITIS

Joseph Leung, JosephJ Y. Sung, SydneyC S. Chung, VirgilioP Banez, K. C Li Arthur

Research output: Contribution to journalArticlepeer-review

165 Scopus citations

Abstract

105 patients with acute calculous cholangitis who did not respond to conservative management underwent urgent endoscopic drainage of the biliary system at a mean of 1·5 days after admission. Treatment was successful in 102 (97%) patients. 3 of the patients in whom drainage was not successful underwent emergency surgery, with 1 death. 3 patients died of uncontrolled sepsis despite successful endoscopic drainage. 1 patient died of a stroke. The overall mortality was 4·7%. Among those in shock 2 out of 4 drained after 72 h died, compared with 3 out of 38 drained before 72 h. There were no deaths in the group without shock irrespective of the timing of drainage.

Original languageEnglish (US)
Pages (from-to)1307-1309
Number of pages3
JournalThe Lancet
Volume333
Issue number8650
DOIs
StatePublished - Jun 10 1989
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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