Endoscopic and radiologic interventions as the leading causes of severe cholangitis in a tertiary referral center

Özden, İlgin; Tekant, Yaman; Bilge, Orhan; Acarlı, Koray; Alper, Aydın; Emre, Ali; Rozanes, İzzet; Özsüt, Halit; Arıoğul, Orhan

doi:10.1016/j.amjsurg.2005.03.010

Cited by 32 publications

(18 citation statements)

References 23 publications

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“…As previous report, the incidence of infection after drainage in malignant obstructive jaundice is 14% -47% (De et al, 2013), cholestasis caused by biliary obstruction is advantageous to the bacteria breeding, and high bilirubin levels is easy leading to intestinal flora, intestinal mucosa barrier damage and bacterial translocation (Englesbe et al, 2005;Ozden et al, 2005). The rate of newly onset of infection after drainage reached 47.6% in our study, this infection rate is high.…”

Section: Discussionsupporting

confidence: 47%

Internal-External Percutaneous Transhepatic Biliary Drainage for Patients with Malignant Obstructive Jaundice

Xu¹,

Lv²,

Huang³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Asian Pac J Cancer Prev, 15 (21), 9391-9394 IntroductionPercutaneous transhepatic biliary drainage is becoming more and more useful as a palliative treatment for patients with malignant obstructive jaundice, which could not only significantly reduce bilirubin levels, improve liver function and prolong survival time, but also be used as a preoperative drainage, provide the conditions for subsequent treatment (Boursier et al., 2009;Herzog et al., 2012;Kaya et al., 2012;Zhu et al., 2012). In our center, if the guide wire could pass through the occlusion and into the duodenum, we prefer to use internal-external drainage, while the occlusion is not crossed, external drainage biliary catheter is placed. We think that internal-external drainage in the treatment of malignant obstructive jaundice not only could lead bile flow into intestine, maintain the physical channel of bile drainage, also decline bilirubin level quickly which is beneficial to the recovery of liver function and reduce the gastrointestinal complications caused by lack of bile. In order to evaluate the efficacy of this kind of treatment, we collect patients with malignant obstructive jaundice receiving this procedure in 2008-2013.

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Section: Discussionsupporting

confidence: 47%

Internal-External Percutaneous Transhepatic Biliary Drainage for Patients with Malignant Obstructive Jaundice

Xu¹,

Lv²,

Huang³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Cholangitis is a severe complication of intervention on the biliary tree; a nonoperative biliary procedure is the triggering mechanism. Post-ERCP cholangitis occurred specially after cannulation, and incomplete drainage of a bile duct was injected [11]. The goal of this study was not to analyze if plastic stent is better than self-expandable metallic stents neither if two stents are better than only one neither how many liver volume is necessary to drain to achieve improvement in quality of life [22,23].…”

Section: Discussionmentioning

confidence: 99%

“…The end point of palliative management is to achieve improving quality of life (biochemical parameters normalization, biliary tree decompression, and relief of symptoms) [9]. Endoscopic biliary drainage has been considered as the palliative treatment of choice for these patients [6,10,11]. The overall cholangitis rate of ERCP is reported from 3.4% to 5.8%.…”

Section: Introductionmentioning

confidence: 98%

“…The overall cholangitis rate of ERCP is reported from 3.4% to 5.8%. In contrast, post-ERCP bacterial cholangitis in Klatskin patients occurs in 6% to 49% [8,11,12]; specially in case of undrained biliary segments after contrast medium injection [11][12][13][14][15][16]. A lot of artifices were considered to decrease the rate of procedure-related septic cholangitis [5,9,10].…”

Section: Introductionmentioning

confidence: 98%

“…Therefore, referring on literature data about physiopathology of cholangitis, we used air instead of iodine contrast to achieve a cholangiography and to avoid post-ERCP cholangitis (Fig. 2) [11,[17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic and radiologic interventions as the leading causes of severe cholangitis in a tertiary referral center

Cited by 32 publications

References 23 publications

Internal-External Percutaneous Transhepatic Biliary Drainage for Patients with Malignant Obstructive Jaundice

Internal-External Percutaneous Transhepatic Biliary Drainage for Patients with Malignant Obstructive Jaundice

Cholangitis prevention in endoscopic Klatskin tumor palliation: air cholangiography technique

Role of Interventional Radiology in Management of Gastrointestinal Cancers and Neuroendocrine Tumors

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