Spectrum of cholangitis

Saik, Richard P.; Greenburg, A. Gerson; Farris, Jack Matthews; Peskin, Gerald W.

doi:10.1016/0002-9610(75)90362-1

Cited by 94 publications

(37 citation statements)

References 15 publications

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“…The availability of a large number of effective antibiotic drugs and biliary decompression makes the difference between the present mortality rate for cholangitis ranging from 9 to 40% (9,(13)(14)(15)(16) We should consider PTBD as an effective procedure in most jaundiced neoplastic patients because of the increased cure rate of cholangitis and the low procedurerelated mortality rate. This is also supported by a satisfactory overall median survival period of 6 months after PTBD.…”

Section: Resultsmentioning

confidence: 99%

The Outcome of Cholangitis After Percutaneous Biliary Drainage in Neoplastic Jaundice

Audisio

Morosi

Bozzetti³

et al. 1992

HPB Surgery

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The purpose of this paper is to evaluate factors affecting the outcome of cholangitis after PTBD in jaundiced cancer patients. Twenty nine patients with neoplastic jaundice (male/female ratio 13/16, median age 55 years) with full clinical data, were treated by PTBD and developed cholangitis at a median of 9 days later. Four patients (14%) died of biliary sepsis a median of one month after PTBD while the other 25 survived a median of 6 months, with one week median duration of cholangitis. The probability of the cholangitis resolving was analyzed by time to resolution and it was found that 50% and 100% of the recoveries occurred 5 and 9 months respectively from the onset of the complication.The series was analyzed to determine the role of several variables (disease/patient/treatment related) in the resolution of cholangitis. Only a low stricture site, a large initial drainage catheter (10F) and a temperature increase exceeding 39 C were correlated with a positive outcome. We conclude that PTBD-related cholangitis has, in our experience, a good chance of cure, low mortality rate and satisfactory 6 months median survival.

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Section: Resultsmentioning

confidence: 99%

The Outcome of Cholangitis After Percutaneous Biliary Drainage in Neoplastic Jaundice

Audisio

Morosi

Bozzetti³

et al. 1992

HPB Surgery

View full text Add to dashboard Cite

show abstract

“…Ceppa et al had successful endoscopic evaluation in 9 of ten patients whom they had Roux-en-Y gastric bypass, 4 of 5 patients underwent successful ERCP and the fifth one had a stone impaction in the ampulla [7].…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, Deferent accesses has been described in the literature with a good success rate as Ceppa et al had a successful ERCP through trans-gastric approach in 4 of 5 patients and similar technique described by Nguyen [7,8].…”

Section: Introductionmentioning

confidence: 98%