Endoscopic nasobiliary drainage in acute suppurative cholangitis

Indian J Gastroenterol. 1994 Jul;13(3):83-5.

Abstract

Background: Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of the biliary tree, endoscopic, percutaneous or surgical.

Aims: To study the effect of emergency endoscopic nasobiliary drainage (ENBD) in acute suppurative calculous cholangitis.

Methods: In 37 patients with calculous cholangitis, an endoscopic nasobiliary drain (7 F) was placed in the biliary tree above the site of obstruction to ensure continuous biliary drainage.

Results: Success rate was 100% and there was no mortality. ENBD was performed in 4 very sick patients without the aid of fluoroscopy. Cholangitis improved in 36 of 37 patients within 12-24 hours. When the clinical condition improved, all the 36 patients were taken up for elective biliary surgery or endoscopic sphincterotomy and stone extraction.

Conclusions: Emergency endoscopic nasobiliary drainage is an effective method in managing patients with acute suppurative calculous cholangitis.

Publication types

  • Clinical Trial

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biliary Tract
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangitis / surgery*
  • Cholelithiasis / complications
  • Drainage / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Suppuration