本文關(guān)鍵詞：Urgent endoscopic ultrasound-guided choledochoduodenostomy for acute obstructive suppurative cholangitis-induced sepsis　出處：《World Journal of Gastroenterology》2016年16期 　論文類型：期刊論文

  更多相關(guān)文章： Endoscopic ultrasound-guided biliary drainage Choledochoduodenostomy Acute obstructive suppurative cholangitis Sepsis Life-saving endoscopy

【摘要】：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.
[Abstract]: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.
【作者單位】： Department
【基金】：Supported by The Japan Society for the Promotion of Science and the Japanese Foundation for the Research and Promotion of Endoscopy,No.22590764 and 25461035
【分類號】：R459.7;R575.7
【正文快照】： INTRODUCTIONAcute obstructive suppurative cholangitis(AOSC)dueto biliary lithiasis is a life-threatening condition thatrequires urgent biliary decompression.Endoscopicretrograde cholangiopancreatography(ERCP)withtranspapillary stent placement is the curr

【相似文獻】

相關(guān)期刊論文 前8條

1 Nishant Raj Paney;Yu-yao Bian;Song-tao Shou;;Significance of blood pressure variability in patients with sepsis[J];World Journal of Emergency Medicine;2014年01期

2 Rui-ming Chang;Li-qiang Wen;Jian-xing Chang;Yu-ru Fu;Zhi-peng Jiang;Shuang Chen;;Repair of damaged intestinal mucosa in a mouse model of sepsis[J];World Journal of Emergency Medicine;2013年03期

3 Huan Ding;Xiang-yuan Cao;Xi-gang Ma;Wen-jie Zhou;;Endothelial cell injury with inflammatory cytokine and coagulation in patients with sepsis[J];World Journal of Emergency Medicine;2013年04期

4 孫晨;吳學(xué)敏;魏濵;;連續(xù)性血液凈化對SIRS/sepsis合并ARF患者血清PCT、TNF-а、IL-6、IL-10等的影響[J];河北醫(yī)藥;2010年12期

5 Yan-jun Qin;Xin-liang Zhang;Yue-qing Yu;Xiao-hua Bian;Shi-min Dong;;Cardioprotective effect of erythropoietin on sepsisinduced myocardial injury in rats[J];World Journal of Emergency Medicine;2013年03期

6 Gao Zeng;Cong-wei Jia;Jie Liu;Shu-bin Guo;;Lipocalin-2 Test in Distinguishing Acute Lung Injury Cases from Septic Mice Without Acute Lung Injury[J];Chinese Medical Sciences Journal;2014年02期

7 Xiao-ling Wu;Ding Long;Li Yu;Jun-hui Yang;Yuan-chao Zhang;Feng Geng;;Urokinase-type plasminogen activator receptor as a predictor of poor outcome in patients with systemic inflammatory response syndrome[J];World Journal of Emergency Medicine;2013年03期

8 ;[J];;年期

相關(guān)會議論文 前2條

1 huijuan wang;pengjun zhang;jie deng;xin zhang;kun xiao;dan feng;yanhong jia;youning liu;lixin xie;;Identification of four novel serum Protein biomarkers for sepsis patients[A];中華醫(yī)學(xué)會呼吸病學(xué)年會——2013第十四次全國呼吸病學(xué)學(xué)術(shù)會議論文匯編[C];2013年

2 Robert L.Danner;Peter Q Eichacker;Charles Natanson;;A Systematic Analysis of Care Bundles for Severe Sepsis[A];中國病理生理學(xué)會危重病醫(yī)學(xué)專業(yè)委員會第八屆全國大會暨中華呼吸病學(xué)會呼吸生理和重癥監(jiān)護學(xué)組年會論文集[C];2008年

相關(guān)碩士學(xué)位論文 前1條

1 鄭興龍;膿毒癥患者APTT、FIB、PT、TT、PLT與血乳酸相關(guān)性分析[D];暨南大學(xué);2015年

，

本文編號：1440256