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KMID : 0386119930290061240
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Journal of the Korean Radiological Society
1993 Volume.29 No. 6 p.1240 ~ p.1246
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Percutaneous Biliary Drainage in Acute Suppurative Cholangitis with Biliary Sepsis
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김형열
조준식/권순태/이상진/이병철
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Abstract
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Acute suppurative cholangitis is a severe inflammatory process of the bile duct occurred as a result of partial or complete obstruction of the bile duct, and may manifest clinically severe from of disease, rapidly deterioration to
life-threatening
condition. We analyzed emergency percutaneous transhepatic biliary drainage in 20 patients of acute suppurative cholangitis with biliary sepsis to evaluate the therapeutic effect and complication of the procedure. The underlying causes were 12
benign
diseases(stones) and eight malignant tumors and among eight malignant tumors, bile duct stones(n=4) and clonorchiasis (n=1) were combined. Percutaneous transhepatic biliary drainage was performed successfully in 17 of 20 patients improvement of
general
condition and failed in three patients. The procedures were preterminated due to the patient's condition in two and biliary-porto fistula was developed in one. After biliary decompression by percutaneous transhepatic biliary drainage, effective
and
successful elective surgery was performed in nine cases, which were seven biliary stones and two biliary cancer with stones.
Our experience suggests that emergency percutaneous transhepatic biliary drainage is an initial and effective treatment of choice for acute suppurative cholangitis with sepsis and a safe alternative for nonsurgical treatment.
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KEYWORD
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