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 language | English |
|---|---|
| Pages (from-to) | 85-89 |
| Number of pages | 5 |
| Journal | Gastrointestinal Radiology |
| Volume | 11 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 1986 |
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Keywords
- Biliary obstruction
- Cholangitis
- Percutaneous biliary drainage
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Gastroenterology
Cite this
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 journal › Article
}
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 -