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Article: Methods and timing of biliary drainage for acute cholangitis: Tokyo Guidelines

TitleMethods and timing of biliary drainage for acute cholangitis: Tokyo Guidelines
Authors
KeywordsBiliary
Cholangitis
Drainage
Endoscopy
Guidelines
Percutaneous
Sphincterotomy
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. 68-77 How to Cite?
AbstractBiliary drainage is a radical method to relieve cholestasis, a cause of acute cholangitis, and takes a central part in the treatment of acute cholangitis. Emergent drainage is essential for severe cases, whereas patients with moderate and mild disease should also receive drainage as soon as possible if they do not respond to conservative treatment, and their condition has not improved. Biliary drainage can be achieved via three different routes/procedures: endoscopic, percutaneous transhepatic, and open methods. The clinical value of both endoscopic and percutaneous transhepatic drainage is well known. Endoscopic drainage is associated with a low morbidity rate and shorter duration of hospitalization; therefore, this approach is advocated whenever it is applicable. In endoscopic drainage, either endoscopic nasobiliary drainage (ENBD) or tube stent placement can be used. There is no significant difference in the success rate, effectiveness, and morbidity between the two procedures. The decision to perform endoscopic sphincterotomy (EST) is made based on the patient's condition and the number and diameter of common bile duct stones. Open drainage, on the other hand, should be applied only in patients for whom endoscopic or percutaneous transhepatic drainage is contraindicated or has not been successfully performed. Cholecystectomy is recommended in patients with gallbladder stones, following the resolution of acute cholangitis with medical treatment, unless the patient has poor operative risk factors or declines surgery. © Springer-Verlag Tokyo 2007.
Persistent Identifierhttp://hdl.handle.net/10722/83638
ISSN
2009 Impact Factor: 1.601
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNagino, Men_HK
dc.contributor.authorTakada, Ten_HK
dc.contributor.authorKawarada, Yen_HK
dc.contributor.authorNimura, Yen_HK
dc.contributor.authorYamashita, Yen_HK
dc.contributor.authorTsuyuguchi, Ten_HK
dc.contributor.authorWada, Ken_HK
dc.contributor.authorMayumi, Ten_HK
dc.contributor.authorYoshida, Men_HK
dc.contributor.authorMiura, Fen_HK
dc.contributor.authorStrasberg, SMen_HK
dc.contributor.authorPitt, HAen_HK
dc.contributor.authorBelghiti, Jen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorLiau, KHen_HK
dc.contributor.authorBelli, Gen_HK
dc.contributor.authorChen, XPen_HK
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorPhilippi, BPen_HK
dc.contributor.authorSingh, Hen_HK
dc.contributor.authorSupe, Aen_HK
dc.date.accessioned2010-09-06T08:43:25Z-
dc.date.available2010-09-06T08:43:25Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 68-77en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83638-
dc.description.abstractBiliary drainage is a radical method to relieve cholestasis, a cause of acute cholangitis, and takes a central part in the treatment of acute cholangitis. Emergent drainage is essential for severe cases, whereas patients with moderate and mild disease should also receive drainage as soon as possible if they do not respond to conservative treatment, and their condition has not improved. Biliary drainage can be achieved via three different routes/procedures: endoscopic, percutaneous transhepatic, and open methods. The clinical value of both endoscopic and percutaneous transhepatic drainage is well known. Endoscopic drainage is associated with a low morbidity rate and shorter duration of hospitalization; therefore, this approach is advocated whenever it is applicable. In endoscopic drainage, either endoscopic nasobiliary drainage (ENBD) or tube stent placement can be used. There is no significant difference in the success rate, effectiveness, and morbidity between the two procedures. The decision to perform endoscopic sphincterotomy (EST) is made based on the patient's condition and the number and diameter of common bile duct stones. Open drainage, on the other hand, should be applied only in patients for whom endoscopic or percutaneous transhepatic drainage is contraindicated or has not been successfully performed. Cholecystectomy is recommended in patients with gallbladder stones, following the resolution of acute cholangitis with medical treatment, unless the patient has poor operative risk factors or declines surgery. © 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.subjectBiliaryen_HK
dc.subjectCholangitisen_HK
dc.subjectDrainageen_HK
dc.subjectEndoscopyen_HK
dc.subjectGuidelinesen_HK
dc.subjectPercutaneousen_HK
dc.subjectSphincterotomyen_HK
dc.titleMethods and timing 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=68&epage=77&date=2007&atitle=Methods+and+timing+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/s00534-006-1158-5en_HK
dc.identifier.pmid17252299-
dc.identifier.scopuseid_2-s2.0-33846673621en_HK
dc.identifier.hkuros125980en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846673621&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage68en_HK
dc.identifier.epage77en_HK
dc.identifier.isiWOS:000245342900014-
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridNagino, M=7006620971en_HK
dc.identifier.scopusauthoridTakada, T=7202751961en_HK
dc.identifier.scopusauthoridKawarada, Y=7102270197en_HK
dc.identifier.scopusauthoridNimura, Y=7201351672en_HK
dc.identifier.scopusauthoridYamashita, Y=7402954641en_HK
dc.identifier.scopusauthoridTsuyuguchi, T=6701437594en_HK
dc.identifier.scopusauthoridWada, K=8973796100en_HK
dc.identifier.scopusauthoridMayumi, T=7102413301en_HK
dc.identifier.scopusauthoridYoshida, M=14421962900en_HK
dc.identifier.scopusauthoridMiura, F=35475649700en_HK
dc.identifier.scopusauthoridStrasberg, SM=7101931401en_HK
dc.identifier.scopusauthoridPitt, HA=7103213587en_HK
dc.identifier.scopusauthoridBelghiti, J=35403099400en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridLiau, KH=15837148100en_HK
dc.identifier.scopusauthoridBelli, G=7004998933en_HK
dc.identifier.scopusauthoridChen, XP=26643147200en_HK
dc.identifier.scopusauthoridLai, ECS=55187468300en_HK
dc.identifier.scopusauthoridPhilippi, BP=55307276700en_HK
dc.identifier.scopusauthoridSingh, H=35591670900en_HK
dc.identifier.scopusauthoridSupe, A=7004733721en_HK
dc.identifier.citeulike1100215-

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