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Article: A scientific evaluation of operative choledochoscopy in acute cholangitis

TitleA scientific evaluation of operative choledochoscopy in acute cholangitis
Authors
Issue Date1987
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com
Citation
Annals Of Surgery, 1987, v. 206 n. 2, p. 142-147 How to Cite?
AbstractA prospective study to determine the safety and effectiveness of choledochoscopy in acute cholangitis and acute suppuratie cholangitis due to common bile duct stones was conducted on 70 patients. Common bile duct pressures determined on the first 20 patients showed that choledochoscopy was unlikely to cause cholangiovenous reflux. Laboratory and clinical parameters revealed that choledochoscopy did not cause septicemia, worsen cholangitis, or provoke acute pancreatitis. There was no iatrogenic injury during choledochoscopy, and the choledochoscopic views were minimally affected by cholangitis. Choledochoscopy detected overlooked stones after conventional methods of exploration of common bile ducts in 14.3% of patients and it helped to remove impacted stones in 2.9% of patients. As a result, the incidence of retained stones after choledochoscopy was 1.4%. Time spent in choledochoscopy was short, and the total postoperative septic complication rate was only 10%. There was no operative mortaltiy. it is concluded that choledochoscopy is safe and effective in cholangitis.
Persistent Identifierhttp://hdl.handle.net/10722/172560
ISSN
2015 Impact Factor: 8.569
2015 SCImago Journal Rankings: 4.503
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WYen_US
dc.contributor.authorChong, KKen_US
dc.contributor.authorFan, STen_US
dc.date.accessioned2012-10-30T06:23:24Z-
dc.date.available2012-10-30T06:23:24Z-
dc.date.issued1987en_US
dc.identifier.citationAnnals Of Surgery, 1987, v. 206 n. 2, p. 142-147en_US
dc.identifier.issn0003-4932en_US
dc.identifier.urihttp://hdl.handle.net/10722/172560-
dc.description.abstractA prospective study to determine the safety and effectiveness of choledochoscopy in acute cholangitis and acute suppuratie cholangitis due to common bile duct stones was conducted on 70 patients. Common bile duct pressures determined on the first 20 patients showed that choledochoscopy was unlikely to cause cholangiovenous reflux. Laboratory and clinical parameters revealed that choledochoscopy did not cause septicemia, worsen cholangitis, or provoke acute pancreatitis. There was no iatrogenic injury during choledochoscopy, and the choledochoscopic views were minimally affected by cholangitis. Choledochoscopy detected overlooked stones after conventional methods of exploration of common bile ducts in 14.3% of patients and it helped to remove impacted stones in 2.9% of patients. As a result, the incidence of retained stones after choledochoscopy was 1.4%. Time spent in choledochoscopy was short, and the total postoperative septic complication rate was only 10%. There was no operative mortaltiy. it is concluded that choledochoscopy is safe and effective in cholangitis.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.comen_US
dc.relation.ispartofAnnals of Surgeryen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCholangitis - Diagnosis - Physiopathology - Surgeryen_US
dc.subject.meshCommon Bile Duct - Physiopathologyen_US
dc.subject.meshEndoscopyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshPressureen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRisken_US
dc.subject.meshSepsis - Etiologyen_US
dc.titleA scientific evaluation of operative choledochoscopy in acute cholangitisen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00000658-198708000-00005-
dc.identifier.pmid3606239-
dc.identifier.scopuseid_2-s2.0-0023220127en_US
dc.identifier.volume206en_US
dc.identifier.issue2en_US
dc.identifier.spage142en_US
dc.identifier.epage147en_US
dc.identifier.isiWOS:A1987J293600005-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, WY=7402933199en_US
dc.identifier.scopusauthoridChong, KK=36780035800en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US

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