Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\11833092
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 World+J+Gastroenterol
2002 ; 8
(1
): 150-2
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Early diagnosis and treatment of severe acute cholangitis
#MMPMID11833092
Zhang WZ
; Chen YS
; Wang JW
; Chen XR
World J Gastroenterol
2002[Feb]; 8
(1
): 150-2
PMID11833092
show ga
AIM: To investigate the diagnostic standard for early identification of severe
acute cholangitis in order to lower the incidence of morbidity and mortality
rate. METHODS: A diagnostic standard was proposed in this study as
follows:documented biliary duct obstruction by ultrasound or computerized
tomography or other imaging tools with the manifestation of systemic inflammatory
response syndrome (SIRS). The surgical procedures included emergency common bile
duct exploration with T tube insertion or cholecystostomy with secondary common
bile duct exploration. And incidence of postoperative multiple organ dysfunction
syndrome (MODS), duration of systemic inflammatory response and hospital
mortality were analyzed. RESULTS: Fourty-three patients conforming to the
diagnostic standard described above were employed in this study. 1 patient was
admitted in acutely ill condition and complicated with acute relapse of chronic
bronchitis, cholecystostomy procedure was performed but the patient was
complicated with postoperative acute lung injury which was treated by assisted
mechanical ventilation for 5 d; 2 wk later, two-stage common bile duct
Exploration and T tube insertion were performed. The remaining 42 patients
underwent primary common bile duct exploration and T tube insertion, 1 developed
acute lung injury and recovered 3 d later, 2 patients developed acute renal
dysfunction, 1 of which recovered 2 d later and the other died on d 4. For all
patients, the postoperative systemic inflammatory response persisted for 2 to 8 d
with median of 3 d. CONCLUSION: Early diagnosis of severe acute cholangitis can
be made using this diagnostic standard, further development of systemic
inflammatory response could be prevented and incidence of MODS as well as
hospital mortality decreased.
|Acute Disease
[MESH]
|Aged
[MESH]
|Cholangitis/*diagnosis/mortality/*surgery
[MESH]
|Emergency Medical Services/standards
[MESH]
|Female
[MESH]
|Hospital Mortality
[MESH]
|Humans
[MESH]
|Incidence
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Multiple Organ Failure/mortality/prevention & control
[MESH]
|Postoperative Complications/prevention & control
[MESH]