Revista de gastroenterologia de Mexico · 1996
[Acute infectious cholangitis].
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Carmona R, Suazo J, Uscanga Domínguez L
Аннотация
AIM: To know the results in the treatment of acute infectious cholangitis (IAC) and to identify risk factors related to morbidity and mortality.
MATERIAL AND METHODS: We reviewed the records of patients with AIC in a 7 year period. Clinical presentation, diagnostic methods and treatment were analyzed.
RESULTS: There were 85 cases (61% females and 39% males). Abdominal pain, fever and jaundice were the symptoms most frequently observed. Choledocholithiasis was present in 75% of the cases, malignant obstruction in 12% and other causes in 13%. All patients received antibiotics and 74% underwent any form of biliary drainage. There were complications in 32% of the cases and 14% died. Malignant obstruction was related to high risk of death (OR 11.1).
CONCLUSION: The IAC is a potentially life-threatening disease and is most ominous in cases of malignant occlusion of biliary tree.
MATERIAL AND METHODS: We reviewed the records of patients with AIC in a 7 year period. Clinical presentation, diagnostic methods and treatment were analyzed.
RESULTS: There were 85 cases (61% females and 39% males). Abdominal pain, fever and jaundice were the symptoms most frequently observed. Choledocholithiasis was present in 75% of the cases, malignant obstruction in 12% and other causes in 13%. All patients received antibiotics and 74% underwent any form of biliary drainage. There were complications in 32% of the cases and 14% died. Malignant obstruction was related to high risk of death (OR 11.1).
CONCLUSION: The IAC is a potentially life-threatening disease and is most ominous in cases of malignant occlusion of biliary tree.