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2014, Number 2

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Revista Cubana de Cirugía 2014; 53 (2)

First experiences in performing urgent percutaneous biliary drainage for acute cholangitis

González GJL, Menéndez NJ

Language: Spanish
References: 24
Page: 115-123
PDF size: 244.41 Kb.


ABSTRACT

Introduction: bile duct obstruction is a frequent source of morbidity among patients with liver metastasis, periportal lymph nodes and hepatobilopancreatic cancer. Acute cholangitis is the most feared complication because of its mortality. The present paper showed the first percutaneous approaches performed by surgeons in “Hermanos Ameijeiras” clinical and surgical hospital as a tool for treatment of this urgent complication.
Objective: to characterize the urgent transparietohepatic bile drainage performed on patients with acute cholangitis and obstructive jaundice.
Methods: this is a prospective, descriptive and applied study with 30 patients cared for in this institution from January 2008 through December 2010.
Results: the most frequent etiology was malignancy of the pancreas head; the lower location of the lesion doubled the upper location. Most of the patients clinically improved their jaundice problems after one week of procedure. The percutaneous drainage was the definitive procedure in 73.3 % of patients. Average ages for the various etiologic diagnoses showed statistically significant differences. There were no complications or death related with the procedure.
Conclusions: US-guided percutaneous biliary drainage is a safe useful tool for the urgent treatment of acute cholangitis, it can be performed by general surgeons with specific adequate training and has few associated complications.


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