2016年4月
Urgent endoscopic ultrasound-guided choledochoduodenostomy for acute obstructive suppurative cholangitis-induced sepsis
WORLD JOURNAL OF GASTROENTEROLOGY
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- 巻
- 22
- 号
- 16
- 開始ページ
- 4264
- 終了ページ
- 4269
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.3748/wjg.v22.i16.4264
- 出版者・発行元
- BAISHIDENG PUBLISHING GROUP INC
Acute obstructive suppurative cholangitis (AOSC) due to biliary lithiasis is a life-threatening condition that requires urgent biliary decompression. Although endoscopic retrograde cholangiopancreatography (ERCP) with stent placement is the current gold standard for biliary decompression, it can sometimes be difficult because of failed biliary cannulation. In this retrospective case series, we describe three cases of successful biliary drainage with recovery from septic shock after urgent endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) was performed for AOSC due to biliary lithiasis. In all three cases, technical success in inserting the stents was achieved and the patients completely recovered from AOSC with sepsis in a few days after EUS-CDS. There were no procedure-related complications. When initial ERCP fails, EUS-CDS can be an effective life-saving endoscopic biliary decompression procedure that shortens the procedure time and prevents post-ERCP pancreatitis, particularly in patients with AOSC-induced sepsis.
- リンク情報
- ID情報
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- DOI : 10.3748/wjg.v22.i16.4264
- ISSN : 1007-9327
- eISSN : 2219-2840
- PubMed ID : 27122677
- Web of Science ID : WOS:000374444800019