File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Acute cholangitis secondary to hepatolithiasis

TitleAcute cholangitis secondary to hepatolithiasis
Authors
Issue Date1991
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
Citation
Archives Of Surgery, 1991, v. 126 n. 8, p. 1027-1031 How to Cite?
AbstractIn a series of 88 patients with acute cholangitis secondary to hepatolithiasis, 26 (30%) required emergency therapeutic intervention because of septicemic shock (n = 15), persistent fever (n = 8), or spreading peritonitis (n = 3). Analysis was made to define factors that predisposed to failure of conservative treatment and characteristics that could predict the need for emergency biliary decompression. The age, incidence of concomitant medical diseases, previous biliary surgery, positive blood culture, bacterial strains resistant to antibiotics used, and multiplicity of bacterial strains in bile cultures in patients who required emergency intervention were similar to these factors in patients who had elective operations after successful conservative management. The incidence of intrahepatic segmental obstruction by stones or strictures was similar, but many more patients who required emergency intervention had concomitant extrahepatic obstruction due to impacted common ductal stones or strictures. Logistic regression analysis of clinical, hematological, and biochemical data showed that maximum pulse rate within 24 hours of presentation (>100 beats per minute, relative risk, 2.8) and platelet count at the time of admission (<150 x 10 9 /L, relative risk, 5.2) were the factors with independent significance in predicting the need for emergency therapeutic procedures. This finding may serve as a guideline for identifying high-risk patients for early intervention.
Persistent Identifierhttp://hdl.handle.net/10722/172661
ISSN
2014 Impact Factor: 4.926
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFan, STen_HK
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorMok, FPTen_HK
dc.contributor.authorChoi, TKen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:24:06Z-
dc.date.available2012-10-30T06:24:06Z-
dc.date.issued1991en_HK
dc.identifier.citationArchives Of Surgery, 1991, v. 126 n. 8, p. 1027-1031en_HK
dc.identifier.issn0004-0010en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172661-
dc.description.abstractIn a series of 88 patients with acute cholangitis secondary to hepatolithiasis, 26 (30%) required emergency therapeutic intervention because of septicemic shock (n = 15), persistent fever (n = 8), or spreading peritonitis (n = 3). Analysis was made to define factors that predisposed to failure of conservative treatment and characteristics that could predict the need for emergency biliary decompression. The age, incidence of concomitant medical diseases, previous biliary surgery, positive blood culture, bacterial strains resistant to antibiotics used, and multiplicity of bacterial strains in bile cultures in patients who required emergency intervention were similar to these factors in patients who had elective operations after successful conservative management. The incidence of intrahepatic segmental obstruction by stones or strictures was similar, but many more patients who required emergency intervention had concomitant extrahepatic obstruction due to impacted common ductal stones or strictures. Logistic regression analysis of clinical, hematological, and biochemical data showed that maximum pulse rate within 24 hours of presentation (>100 beats per minute, relative risk, 2.8) and platelet count at the time of admission (<150 x 10 9 /L, relative risk, 5.2) were the factors with independent significance in predicting the need for emergency therapeutic procedures. This finding may serve as a guideline for identifying high-risk patients for early intervention.en_HK
dc.languageengen_US
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.comen_HK
dc.relation.ispartofArchives of Surgeryen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBilirubin - Blooden_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshCalculi - Complications - Physiopathology - Surgeryen_US
dc.subject.meshCholangitis - Etiology - Physiopathology - Surgeryen_US
dc.subject.meshDrainageen_US
dc.subject.meshFemaleen_US
dc.subject.meshFever - Physiopathologyen_US
dc.subject.meshHumansen_US
dc.subject.meshLiver Diseases - Complications - Physiopathology - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPartial Thromboplastin Timeen_US
dc.subject.meshPeritonitis - Physiopathologyen_US
dc.subject.meshPlatelet Counten_US
dc.subject.meshProbabilityen_US
dc.subject.meshProthrombin Timeen_US
dc.subject.meshPulseen_US
dc.subject.meshShock, Septic - Physiopathologyen_US
dc.titleAcute cholangitis secondary to hepatolithiasisen_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.pmid1863207-
dc.identifier.scopuseid_2-s2.0-0026397690en_HK
dc.identifier.volume126en_HK
dc.identifier.issue8en_HK
dc.identifier.spage1027en_HK
dc.identifier.epage1031en_HK
dc.identifier.isiWOS:A1991FZ97300016-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridMok, FPT=6603786245en_HK
dc.identifier.scopusauthoridChoi, TK=7202770029en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats