Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
29
pubmed:dateCreated
1999-10-1
pubmed:abstractText
In two women aged 76 and 29 years, who presented with cholangitis and small ductus choledochus calculi and with painless icterus respectively, endoscopic retrograde cholangiopancreatography (ERCP) was carried out with papillotomy. Both developed a duodenal perforation which, however, could not be localized. The first patient eventually died, the second recovered after prolonged hospitalization. A third patient, a 53-year-old man, developed abdominal pain and fever four days after laparoscopic cholecystectomy. ERCP was planned, but in the meantime the patient showed signs of recovery. The ERCP was carried out nevertheless. It failed and the patient suffered a prolonged recovery with necrotizing pancreatitis and multiple operations necessitating a temporary colostoma. In all three patients the endoscopic procedure was performed routinely without strict individualized indication. ERCP and papillotomy may be relatively safe procedures, but it should always be considered whether they will really serve the patient.
pubmed:commentsCorrections
pubmed:language
dut
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0028-2162
pubmed:author
pubmed:issnType
Print
pubmed:day
17
pubmed:volume
143
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1497-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10443269-Abdomen, Acute, pubmed-meshheading:10443269-Adult, pubmed-meshheading:10443269-Aged, pubmed-meshheading:10443269-Bile Duct Diseases, pubmed-meshheading:10443269-Cholangiopancreatography, Endoscopic Retrograde, pubmed-meshheading:10443269-Cholangitis, pubmed-meshheading:10443269-Diagnosis, Differential, pubmed-meshheading:10443269-Duodenum, pubmed-meshheading:10443269-Fatal Outcome, pubmed-meshheading:10443269-Female, pubmed-meshheading:10443269-Gallstones, pubmed-meshheading:10443269-Humans, pubmed-meshheading:10443269-Intestinal Perforation, pubmed-meshheading:10443269-Male, pubmed-meshheading:10443269-Middle Aged, pubmed-meshheading:10443269-Pancreatitis, Acute Necrotizing, pubmed-meshheading:10443269-Recurrence, pubmed-meshheading:10443269-Reoperation, pubmed-meshheading:10443269-Sphincterotomy, Endoscopic, pubmed-meshheading:10443269-Treatment Outcome
pubmed:year
1999
pubmed:articleTitle
[Obstructive cholangiopathy: are endoscopic retrograde cholangiopancreatography and papillotomy always really necessary?].
pubmed:affiliation
Academisch Ziekenhuis, afd. Chirurgie, Utrecht.
pubmed:publicationType
Journal Article, English Abstract, Case Reports