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 Scopus citations

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

Keywords

  • Biliary obstruction
  • Cholangitis
  • Percutaneous biliary drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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    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