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Article: Acute cholangitis after endoscopic sphincterotomy: complications of expectant treatment

TitleAcute cholangitis after endoscopic sphincterotomy: complications of expectant treatment
Authors
Issue Date1989
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Journal Of Gastroenterology And Hepatology, 1989, v. 4 n. 5, p. 483-487 How to Cite?
AbstractTwo elderly patients who had endoscopic sphincterotomy (EST) for their common duct stones developed acute cholangitis and, one of them also developed acute pancreatitis after the procedure. Despite the presence of an adequate sphincterotomy which allows subsequent spontaneous stone elimination, transient ductal obstruction during stone migration through the sectioned papilla is probably accountable for their complications. From the present reported experience, it is clear that expectant treatment of common duct stone after EST can be associated with definite hazards. Immediate biliary decompression with either active instrumental extraction or, when no feasible, insertion of nasobiliary catheter, should be performed to prevent these complications in selected patients.
Persistent Identifierhttp://hdl.handle.net/10722/172600
ISSN
2015 Impact Factor: 3.322
2015 SCImago Journal Rankings: 1.190
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorChoi, TKen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:40Z-
dc.date.available2012-10-30T06:23:40Z-
dc.date.issued1989en_HK
dc.identifier.citationJournal Of Gastroenterology And Hepatology, 1989, v. 4 n. 5, p. 483-487en_HK
dc.identifier.issn0815-9319en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172600-
dc.description.abstractTwo elderly patients who had endoscopic sphincterotomy (EST) for their common duct stones developed acute cholangitis and, one of them also developed acute pancreatitis after the procedure. Despite the presence of an adequate sphincterotomy which allows subsequent spontaneous stone elimination, transient ductal obstruction during stone migration through the sectioned papilla is probably accountable for their complications. From the present reported experience, it is clear that expectant treatment of common duct stone after EST can be associated with definite hazards. Immediate biliary decompression with either active instrumental extraction or, when no feasible, insertion of nasobiliary catheter, should be performed to prevent these complications in selected patients.en_HK
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGHen_HK
dc.relation.ispartofJournal of Gastroenterology and Hepatologyen_HK
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCholangitis - Etiologyen_US
dc.subject.meshEndoscopy, Digestive Systemen_US
dc.subject.meshFemaleen_US
dc.subject.meshGallstones - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshPancreatitis - Etiologyen_US
dc.subject.meshSphincterotomy, Transhepatic - Adverse Effectsen_US
dc.titleAcute cholangitis after endoscopic sphincterotomy: complications of expectant treatmenten_HK
dc.typeArticleen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1440-1746.1989.tb01746.x-
dc.identifier.pmid2491213-
dc.identifier.scopuseid_2-s2.0-0024452085en_HK
dc.identifier.volume4en_HK
dc.identifier.issue5en_HK
dc.identifier.spage483en_HK
dc.identifier.epage487en_HK
dc.identifier.isiWOS:A1989CB12900011-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridChoi, TK=7202770029en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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