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Article: Techniques of biliary drainage for acute cholangitis: Tokyo Guidelines

TitleTechniques of biliary drainage for acute cholangitis: Tokyo Guidelines
Authors
KeywordsBiliary drainage
Cholangitis
Endoscopic cholangiopancreatography
Endoscopic sphincterotomy
Endoscopy
Guidelines
Percutaneous
Issue Date2007
PublisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htm
Citation
Journal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 35-45 How to Cite?
AbstractBiliary 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. © Springer-Verlag Tokyo 2007.
Persistent Identifierhttp://hdl.handle.net/10722/83161
ISSN
2009 Impact Factor: 1.601
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTsuyuguchi, Ten_HK
dc.contributor.authorTakada, Ten_HK
dc.contributor.authorKawarada, Yen_HK
dc.contributor.authorNimura, Yen_HK
dc.contributor.authorWada, Ken_HK
dc.contributor.authorNagino, Men_HK
dc.contributor.authorMayumi, Ten_HK
dc.contributor.authorYoshida, Men_HK
dc.contributor.authorMiura, Fen_HK
dc.contributor.authorTanaka, Aen_HK
dc.contributor.authorYamashita, Yen_HK
dc.contributor.authorHirota, Men_HK
dc.contributor.authorHirata, Ken_HK
dc.contributor.authorYasuda, Hen_HK
dc.contributor.authorKimura, Yen_HK
dc.contributor.authorStrasberg, Sen_HK
dc.contributor.authorPitt, Hen_HK
dc.contributor.authorBüchler, MWen_HK
dc.contributor.authorNeuhaus, Hen_HK
dc.contributor.authorBelghiti, Jen_HK
dc.contributor.authorde Santibanes, Een_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorLiau, KHen_HK
dc.contributor.authorSachakul, Ven_HK
dc.date.accessioned2010-09-06T08:37:44Z-
dc.date.available2010-09-06T08:37:44Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 35-45en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83161-
dc.description.abstractBiliary 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. © Springer-Verlag Tokyo 2007.en_HK
dc.languageengen_HK
dc.publisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htmen_HK
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Surgeryen_HK
dc.subjectBiliary drainageen_HK
dc.subjectCholangitisen_HK
dc.subjectEndoscopic cholangiopancreatographyen_HK
dc.subjectEndoscopic sphincterotomyen_HK
dc.subjectEndoscopyen_HK
dc.subjectGuidelinesen_HK
dc.subjectPercutaneousen_HK
dc.titleTechniques of biliary drainage for acute cholangitis: Tokyo Guidelinesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0944-1166&volume=14&issue=1&spage=35&epage=45&date=2007&atitle=Techniques+of+biliary+drainage+for+acute+cholangitis:+Tokyo+Guidelinesen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00534-006-1154-9en_HK
dc.identifier.pmid17252295-
dc.identifier.scopuseid_2-s2.0-33846675601en_HK
dc.identifier.hkuros125977en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846675601&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage35en_HK
dc.identifier.epage45en_HK
dc.identifier.isiWOS:000245342900007-
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridTsuyuguchi, T=6701437594en_HK
dc.identifier.scopusauthoridTakada, T=7202751961en_HK
dc.identifier.scopusauthoridKawarada, Y=7102270197en_HK
dc.identifier.scopusauthoridNimura, Y=7201351672en_HK
dc.identifier.scopusauthoridWada, K=8973796100en_HK
dc.identifier.scopusauthoridNagino, M=7006620971en_HK
dc.identifier.scopusauthoridMayumi, T=7102413301en_HK
dc.identifier.scopusauthoridYoshida, M=14421962900en_HK
dc.identifier.scopusauthoridMiura, F=35475649700en_HK
dc.identifier.scopusauthoridTanaka, A=7404667690en_HK
dc.identifier.scopusauthoridYamashita, Y=7402954641en_HK
dc.identifier.scopusauthoridHirota, M=7201993802en_HK
dc.identifier.scopusauthoridHirata, K=36078084300en_HK
dc.identifier.scopusauthoridYasuda, H=7402017641en_HK
dc.identifier.scopusauthoridKimura, Y=7403990474en_HK
dc.identifier.scopusauthoridStrasberg, S=7101931401en_HK
dc.identifier.scopusauthoridPitt, H=7103213587en_HK
dc.identifier.scopusauthoridBüchler, MW=35277875400en_HK
dc.identifier.scopusauthoridNeuhaus, H=7101811971en_HK
dc.identifier.scopusauthoridBelghiti, J=35403099400en_HK
dc.identifier.scopusauthoridde Santibanes, E=15057704700en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridLiau, KH=15837148100en_HK
dc.identifier.scopusauthoridSachakul, V=15837732800en_HK
dc.identifier.citeulike1100219-

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