Antibiotic Therapy of 3 Days May Be Sufficient After Biliary Drainage for Acute Cholangitis: A Systematic Review
نویسندگان
چکیده
منابع مشابه
Techniques of biliary drainage for acute cholangitis: Tokyo Guidelines
Biliary decompression and drainage done in a timely manner is the cornerstone of acute cholangitis treatment. The mortality rate of acute cholangitis was extremely high when no interventional procedures, other than open drainage, were available. At present, endoscopic drainage is the procedure of first choice, in view of its safety and effectiveness. In patients with severe (grade III) disease,...
متن کاملSphincterotomy with endoscopic biliary drainage for severe acute cholangitis: a meta-analysis
Aims To investigate the role of endoscopic sphincterotomy (ES) with endoscopic biliary drainage (EBD) in acute severe obstructive cholangitis management by performing a meta-analysis of controlled trials. Method We searched PubMed and Embase for controlled studies that compared endoscopic drainage with ES versus Non-ES in acute obstructive cholangitis. Two reviewers selected the studies and ext...
متن کاملMethods and timing of biliary drainage for acute cholangitis: Tokyo Guidelines
Biliary drainage is a radical method to relieve cholestasis, a cause of acute cholangitis, and takes a central part in the treatment of acute cholangitis. Emergent drainage is essential for severe cases, whereas patients with moderate and mild disease should also receive drainage as soon as possible if they do not respond to conservative treatment, and their condition has not improved. Biliary ...
متن کاملTG13 indications and techniques for biliary drainage in acute cholangitis (with videos).
The Tokyo Guidelines of 2007 (TG07) described the techniques and recommendations of biliary decompression in patients with acute cholangitis. TG07 recommended that endoscopic transpapillary biliary drainage should be selected as a first-choice therapy for acute cholangitis because it is associated with a low mortality rate and shorter duration of hospitalization. However, TG07 did not include t...
متن کاملMeta-analysis may not be practicable for guiding antibiotic therapy.
b1-receptors are much more prevalent in the heart, while b2receptors are prevalent in bronchial smooth muscle [3]. The original evidence of adverse effects of b-blockers on airways was based on early case reports of acute bronchospasm associated with high doses of nonselective b-blockers [1]. Since then, cardioselective b-blockers have been developed that have .20 times the affinity for b1than ...
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ژورنال
عنوان ژورنال: Digestive Diseases and Sciences
سال: 2021
ISSN: 0163-2116,1573-2568
DOI: 10.1007/s10620-020-06820-3