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首页> 外文期刊>Digestive Diseases and Sciences >No Association of Timing of Endoscopic Biliary Drainage with Clinical Outcomes in Patients with Non-severe Acute Cholangitis
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No Association of Timing of Endoscopic Biliary Drainage with Clinical Outcomes in Patients with Non-severe Acute Cholangitis

机译:没有具有非重度急性胆管炎患者的内窥镜胆道引流与内镜胆道引流的时间结合

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摘要

Background Biliary drainage via endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for acute cholangitis. Despite the established effectiveness of urgent biliary drainage in patients with severe acute cholangitis, the indication of this procedure for non-severe acute cholangitis is controversial. Aims To assess the safety of elective drainage (≥?12?h of admission) for non-severe acute cholangitis. Methods We retrospectively identified 461 patients with non-severe acute cholangitis who underwent endoscopic biliary drainage. Using linear regression models with adjustment for a variety of potential confounders, we compared elective versus urgent biliary drainage (
机译:背景经内镜逆行胰胆管造影(ERCP)行胆道引流是急性胆管炎的一线治疗方法。尽管对重症急性胆管炎患者实施紧急胆道引流已经取得了一定的效果,但对非重症急性胆管炎患者实施紧急胆道引流的适应症仍存在争议。旨在评估选择性引流的安全性(≥?12?非严重急性胆管炎(入院时)。方法回顾性分析461例非重症急性胆管炎患者行内镜胆道引流术。使用线性回归模型,并对各种潜在的混杂因素进行调整,我们比较了选择性和紧急胆道引流(入院后<12小时)的临床结果。主要结果是住院时间。结果分别有98例和201例患者接受了选择性和紧急胆道引流术。平均住院时间为11天?两组的天数(P?=0.52)。在多变量模型中,ERCP的时间与住院时间无关(P?=?0.52)。两组患者的次要预后(包括住院死亡率和胆管炎复发)并无差异。结论与紧急引流相比,选择性胆道引流与非重症急性胆管炎的不良临床结局无关。有必要进一步研究非重症胆管炎选择性引流的合理性。

著录项

  • 来源
    《Digestive Diseases and Sciences》 |2018年第7期|共9页
  • 作者单位

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

    Department of Gastroenterology Graduate School of Medicine The University of Tokyo;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 消化系及腹部疾病;
  • 关键词

    Drainage; Cholangitis; Endoscopic retrograde cholangiopancreatography; Length of stay;

    机译:排水;胆管炎;内窥镜逆行胆管胆痴呆症;逗留时间;

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