Techniques of biliary drainage for acute cholangitis: Tokyo Guidelines View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-01-30

AUTHORS

Toshio Tsuyuguchi, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Keita Wada, Masato Nagino, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko Miura, Atsushi Tanaka, Yuichi Yamashita, Masahiko Hirota, Koichi Hirata, Hideki Yasuda, Yasutoshi Kimura, Steven Strasberg, Henry Pitt, Markus W. Büchler, Horst Neuhaus, Jacques Belghiti, Eduardo de Santibanes, Sheung-Tat Fan, Kui-Hin Liau, Vibul Sachakul

ABSTRACT

Biliary decompression and drainage done in a timely manner is the cornerstone of acute cholangitis treatment. The mortality rate of acute cholangitis was extremely high when no interventional procedures, other than open drainage, were available. At present, endoscopic drainage is the procedure of first choice, in view of its safety and effectiveness. In patients with severe (grade III) disease, defined according to the severity assessment criteria in the Guidelines, biliary drainage should be done promptly with respiration management, while patients with moderate (grade II) disease also need to undergo drainage promptly with close monitoring of their responses to the primary care. For endoscopic drainage, endoscopic nasobiliary drainage (ENBD) or stent placement procedures are performed. Randomized controlled trials (RCTs) have reported no difference in the drainage effect of these two procedures, but case-series studies have indicated the frequent occurrence of hemorrhage associated with endoscopic sphincterotomy (EST), and complications such as pancreatitis. Although the usefulness of percutaneous transhepatic drainage is supported by the case-series studies, its lower success rate and higher complication rates makes it a second-option procedure. More... »

PAGES

35-45

References to SciGraph publications

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Author Affiliations

  • Department of Medicine and Clinical Oncology, Graduate School of Medicine Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677 Japan
  • Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
  • Mie University School of Medicine, Mie, Japan
  • Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
  • Department of Emergency Medicine and Critical Care, Nagoya University School of Medicine, Nagoya, Japan
  • Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan
  • Department of Surgery, Fukuoka University Hospital, Fukuoka, Japan
  • Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Science, Kumamoto, Japan
  • First Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
  • Department of Surgery, Teikyo University Ichihara Hospital, Chiba, Japan
  • Department of Surgery, Washington University in St Louis and Barnes-Jewish Hospital, St Louis, USA
  • Department of Surgery, Indiana University School of Medicine, Indianapolis, USA
  • Department of Surgery, University of Heidelberg, Heidelberg, Germany
  • Department of Internal Medicine, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany
  • Department of Digestive Surgery and Transplantation, Hospital Beaujon, Clichy, France
  • Department of Surgery, University of Buenos Aires, Buenos Aires, Argentina
  • Department of Surgery, The University of Hong Kong, Hong Kong, China
  • Department of Surgery, Tan Tock Seng Hospital/Hepatobiliary Surgery, Medical Centre, Singapore, Singapore
  • Department of Surgery, Phramongkutklao Hospital, Bangkok, Thailand
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-006-1154-9

    DOI

    http://dx.doi.org/10.1007/s00534-006-1154-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1003373307

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17252295


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