Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?

Background: Endoscopic drainage of the biliary tree for acute cholangitis is a therapeutic modality with a lower mortality and complication rates. Aim: To compare endoscopic drainage with surgical treatment in the emergency management of acute cholangitis. Patients and methods: Between 1995 and 1998...

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Autores principales:	Anselmi M,Mario, Salgado O,Julio, Arancibia S,Andrés, Alliu M,Carla
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Common bile duct calculi Cholangitis Choledochostomy Endoscopy, gastrointestinal
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000700008
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spelling	oai:scielo:S0034-988720010007000082005-11-22Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?Anselmi M,MarioSalgado O,JulioArancibia S,AndrésAlliu M,Carla Common bile duct calculi Cholangitis Choledochostomy Endoscopy, gastrointestinal Background: Endoscopic drainage of the biliary tree for acute cholangitis is a therapeutic modality with a lower mortality and complication rates. Aim: To compare endoscopic drainage with surgical treatment in the emergency management of acute cholangitis. Patients and methods: Between 1995 and 1998, sixty five patients with acute cholangitis were subjected to an endoscopic drainage of the biliary tree. In the same period, 40 patients were treated with traditional surgical procedures. The evolution of both groups of patients were compared. Results: Sixty two patients (95.4%) subjected to endoscopic treatment had a satisfactory evolution, compared with 23 (58%) of those operated (p <0.001). Five operated patients and no individual subjected to endoscopic drainage died (p <0.01). Mean postoperative hospital stay of operated patients was 15.5 ± 19.6 days compared to 5.8 ± 4.2 days in those subjected to endoscopic drainage (p <0.001). Definitive resolution of biliary obstruction was achieved in 83% of patients subjected to endoscopic drainage or traditional surgery. Conclusions: Endoscopic drainage has a lower rate of complications and mortality than traditional surgery, in the treatment of acute cholangitis. (Rev Méd Chile 2001; 753-62)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.7 20012001-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000700008es10.4067/S0034-98872001000700008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Common bile duct calculi Cholangitis Choledochostomy Endoscopy, gastrointestinal
spellingShingle	Common bile duct calculi Cholangitis Choledochostomy Endoscopy, gastrointestinal Anselmi M,Mario Salgado O,Julio Arancibia S,Andrés Alliu M,Carla Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
description	Background: Endoscopic drainage of the biliary tree for acute cholangitis is a therapeutic modality with a lower mortality and complication rates. Aim: To compare endoscopic drainage with surgical treatment in the emergency management of acute cholangitis. Patients and methods: Between 1995 and 1998, sixty five patients with acute cholangitis were subjected to an endoscopic drainage of the biliary tree. In the same period, 40 patients were treated with traditional surgical procedures. The evolution of both groups of patients were compared. Results: Sixty two patients (95.4%) subjected to endoscopic treatment had a satisfactory evolution, compared with 23 (58%) of those operated (p <0.001). Five operated patients and no individual subjected to endoscopic drainage died (p <0.01). Mean postoperative hospital stay of operated patients was 15.5 ± 19.6 days compared to 5.8 ± 4.2 days in those subjected to endoscopic drainage (p <0.001). Definitive resolution of biliary obstruction was achieved in 83% of patients subjected to endoscopic drainage or traditional surgery. Conclusions: Endoscopic drainage has a lower rate of complications and mortality than traditional surgery, in the treatment of acute cholangitis. (Rev Méd Chile 2001; 753-62)
author	Anselmi M,Mario Salgado O,Julio Arancibia S,Andrés Alliu M,Carla
author_facet	Anselmi M,Mario Salgado O,Julio Arancibia S,Andrés Alliu M,Carla
author_sort	Anselmi M,Mario
title	Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
title_short	Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
title_full	Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
title_fullStr	Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
title_full_unstemmed	Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?
title_sort	colangitis aguda debida a coledocolitiasis:¿cirugía tradicional o drenaje biliar endoscópico?
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000700008
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Colangitis aguda debida a coledocolitiasis:¿Cirugía tradicional o drenaje biliar endoscópico?

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