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Endoscopic emergency biliary decompression as treatment for acute obstructive suppurative cholangitis



Endoscopic emergency biliary decompression as treatment for acute obstructive suppurative cholangitis



Kitakanto Medical Journal 37(1): 107-116



Acute obstructive suppurative cholangitis is life-threatening and hight fetal disease demanding quickly bilary decompression for emergency and PTCD has been used chiefly for the purpose of drainage of the biliary tract. Recently, endoscopic cannulation or endoscopic papillotomy have been employed for rapid relief of biliary obstruction at relatively low risk. 1) 11 patients of acute obstructive suppurative cholangitis were treated in our institute endoscopically. 2) Stone extraction using basket catheter after EST was performed in 5 patients, nasobiliary drainage tube was placed in 5 and endoscopic mechanical litotripsy was requested in 1. Serum bilirubin and white blood cell counts promptly decreased to normal level with decreased or fever in those patients. We conclude endoscopic biliary decompression is an effective method and relatively harmless to patients fo the treatment of AOSC.

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Accession: 005359225

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