Percutaneous biliary drainage in acute suppurative cholangitis

Diego Nunez, Jorge J. Guerra, Wajih A. Al-Sheikh, Edward Russell, Gaston Mendez

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

One hundred and sixteen percutaneous drainage procedures of the biliary system were performed in a 2-year period. Eight of 9 acutely ill patients with the diagnosis of acute suppurative cholangitis were successfully treated nonoperatively. They represented 26% of all patients with benign or postsurgical obstruction referred for biliary decompression. Conversely, acute suppurative cholangitis only occurred in 2.3% of patients with underlying malignant disease. These observations are considered most relevant in predicting the purulent nature of the disease, with further implications for patient management. Early recognition and prompt decompression of the biliary system are mandatory, along with the appropriate antibiotic coverage. Our experience compares favorably with surgical results and the procedure is proposed as the method of choice for the initial treatment of acute suppurative cholangitis.

Original languageEnglish
Pages (from-to)85-89
Number of pages5
JournalGastrointestinal Radiology
Volume11
Issue number1
DOIs
StatePublished - Jan 1 1986

Fingerprint

Cholangitis
Drainage
Biliary Tract
Decompression
Anti-Bacterial Agents
Therapeutics

Keywords

  • Biliary obstruction
  • Cholangitis
  • Percutaneous biliary drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Nunez, D., Guerra, J. J., Al-Sheikh, W. A., Russell, E., & Mendez, G. (1986). Percutaneous biliary drainage in acute suppurative cholangitis. Gastrointestinal Radiology, 11(1), 85-89. https://doi.org/10.1007/BF02035039

Percutaneous biliary drainage in acute suppurative cholangitis. / Nunez, Diego; Guerra, Jorge J.; Al-Sheikh, Wajih A.; Russell, Edward; Mendez, Gaston.

In: Gastrointestinal Radiology, Vol. 11, No. 1, 01.01.1986, p. 85-89.

Research output: Contribution to journalArticle

Nunez, D, Guerra, JJ, Al-Sheikh, WA, Russell, E & Mendez, G 1986, 'Percutaneous biliary drainage in acute suppurative cholangitis', Gastrointestinal Radiology, vol. 11, no. 1, pp. 85-89. https://doi.org/10.1007/BF02035039
Nunez D, Guerra JJ, Al-Sheikh WA, Russell E, Mendez G. Percutaneous biliary drainage in acute suppurative cholangitis. Gastrointestinal Radiology. 1986 Jan 1;11(1):85-89. https://doi.org/10.1007/BF02035039
Nunez, Diego ; Guerra, Jorge J. ; Al-Sheikh, Wajih A. ; Russell, Edward ; Mendez, Gaston. / Percutaneous biliary drainage in acute suppurative cholangitis. In: Gastrointestinal Radiology. 1986 ; Vol. 11, No. 1. pp. 85-89.
@article{4db5d23bdb3d477f8048496f16e8609e,
title = "Percutaneous biliary drainage in acute suppurative cholangitis",
abstract = "One hundred and sixteen percutaneous drainage procedures of the biliary system were performed in a 2-year period. Eight of 9 acutely ill patients with the diagnosis of acute suppurative cholangitis were successfully treated nonoperatively. They represented 26{\%} of all patients with benign or postsurgical obstruction referred for biliary decompression. Conversely, acute suppurative cholangitis only occurred in 2.3{\%} of patients with underlying malignant disease. These observations are considered most relevant in predicting the purulent nature of the disease, with further implications for patient management. Early recognition and prompt decompression of the biliary system are mandatory, along with the appropriate antibiotic coverage. Our experience compares favorably with surgical results and the procedure is proposed as the method of choice for the initial treatment of acute suppurative cholangitis.",
keywords = "Biliary obstruction, Cholangitis, Percutaneous biliary drainage",
author = "Diego Nunez and Guerra, {Jorge J.} and Al-Sheikh, {Wajih A.} and Edward Russell and Gaston Mendez",
year = "1986",
month = "1",
day = "1",
doi = "10.1007/BF02035039",
language = "English",
volume = "11",
pages = "85--89",
journal = "Abdominal Imaging",
issn = "0942-8925",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Percutaneous biliary drainage in acute suppurative cholangitis

AU - Nunez, Diego

AU - Guerra, Jorge J.

AU - Al-Sheikh, Wajih A.

AU - Russell, Edward

AU - Mendez, Gaston

PY - 1986/1/1

Y1 - 1986/1/1

N2 - One hundred and sixteen percutaneous drainage procedures of the biliary system were performed in a 2-year period. Eight of 9 acutely ill patients with the diagnosis of acute suppurative cholangitis were successfully treated nonoperatively. They represented 26% of all patients with benign or postsurgical obstruction referred for biliary decompression. Conversely, acute suppurative cholangitis only occurred in 2.3% of patients with underlying malignant disease. These observations are considered most relevant in predicting the purulent nature of the disease, with further implications for patient management. Early recognition and prompt decompression of the biliary system are mandatory, along with the appropriate antibiotic coverage. Our experience compares favorably with surgical results and the procedure is proposed as the method of choice for the initial treatment of acute suppurative cholangitis.

AB - One hundred and sixteen percutaneous drainage procedures of the biliary system were performed in a 2-year period. Eight of 9 acutely ill patients with the diagnosis of acute suppurative cholangitis were successfully treated nonoperatively. They represented 26% of all patients with benign or postsurgical obstruction referred for biliary decompression. Conversely, acute suppurative cholangitis only occurred in 2.3% of patients with underlying malignant disease. These observations are considered most relevant in predicting the purulent nature of the disease, with further implications for patient management. Early recognition and prompt decompression of the biliary system are mandatory, along with the appropriate antibiotic coverage. Our experience compares favorably with surgical results and the procedure is proposed as the method of choice for the initial treatment of acute suppurative cholangitis.

KW - Biliary obstruction

KW - Cholangitis

KW - Percutaneous biliary drainage

UR - http://www.scopus.com/inward/record.url?scp=0022401211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022401211&partnerID=8YFLogxK

U2 - 10.1007/BF02035039

DO - 10.1007/BF02035039

M3 - Article

C2 - 3943682

AN - SCOPUS:0022401211

VL - 11

SP - 85

EP - 89

JO - Abdominal Imaging

JF - Abdominal Imaging

SN - 0942-8925

IS - 1

ER -