Endoscopic Biliary Drainage by Nasobiliary Drain or by Stent Placement in Patients with Acute Cholangitis

Abstract

Biliary drainage by nasobiliary drain and drainage by stent are equally safe and effective treatments for patients with severe cholangitis.

Effectiveness and safety of biliary stenting in the management of difficult common bile duct stones in elderly patients

“…Theoretically, a large stent offers better drainage and a lower rate of stent occlusion than a small stent. However, previous studies showed no significant stent occlusion for both a 10 FR stent and a 6-7 FR stent (27,28). The other reasons considered in selecting 7 and 8.5 FR stents were easy operation and reduced trauma to the bile duct, particularly for elderly, fragile patients.…”

Prozedurenspezifische Schmerztherapie bei der Cholezystitis

“…Generation (hier vor allem das Ceftriaxon). Ist die Cholezystitis begleitet von einer Cholangitis, wird eine Entlastung des Gallengangsystems mittels endoskopischer retrograder Cholangiopankreatographie empfohlen [20].…”

Comparison between emergency and elective endoscopic sphincterotomy in patients with acute cholangitis due to choledocholithiasis: is emergency endoscopic sphincterotomy safe?

“…It is widely recognized that endoscopic biliary drainage (EBD) [1][2][3] in patients with acute cholangitis is important as the initial treatment. EBD and treatment of the papilla of Vater, which includes endoscopic sphincterotomy (EST) [4] and endoscopic papillary balloon dilation (EPBD) [5], are required for patients with acute cholangitis associated with choledocholithiasis, but these modalities are not yet aggressively applied as the initial treatment since cholangitis has been regarded as a risk factor for post-EST hemorrhage [6].…”