Recurrent pyogenic cholangitis

Hobart W. Harris, Zindaba L. Kumwenda, Shyr Ming Sheen-Chen, Amish Shah, William P. Schecter

研究成果: 雜誌貢獻文章同行評審

44 引文 斯高帕斯(Scopus)

摘要

BACKGROUND: Recurrent pyogenic cholangitis is a complex biliary tract disease characterized by intrahepatic pigment stones, endemic to South-east Asia and seen with increasing frequency in the United States. The purpose of this study was to review the management of this disorder in a county hospital. METHODS: A retrospective review of 45 patients with recurrent pyogenic cholangitis evaluated between 1984 and 1995. The clinical and surgical management of patients with localized versus bilateral hepatolithiasis were compared. RESULTS: The prevalence of recurrent pyogenic cholangitis at our hospital has more than doubled since 1983. Fourteen of 45 patients (31%) had bilateral disease and required more abdominal computed tomography scans (P <0.01), percutaneous cholangiograms (P <0.05), endoscopies (P <0.01), clinic visits (P <0.05), and hospital admissions (P <0.02) as compared with patients with localized disease. CONCLUSIONS: The effective treatment of recurrent pyogenic cholangitis requires definition of the patients' intrahepatic distribution of disease, prior to surgical intervention, and the coordinated efforts of gastroenterologists, radiologists, and surgeons.

原文英語
頁(從 - 到)34-37
頁數4
期刊American Journal of Surgery
176
發行號1
DOIs
出版狀態已發佈 - 七月 1998
對外發佈

ASJC Scopus subject areas

  • 手術

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