Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1982-4-20
pubmed:abstractText
Although fulminating primary cholangitis appears to be less frequently seen in recent years in Singapore, choledocholithiasis continues to be frequently encountered. A proportion of these patients probably represents the less severe forms of primary cholangiohepatitis with primary ductal calculi. These calculi are related to stasis within the bile ducts and an internal biliary drainage procedure appears logical and should be performed. There is a place for each of the drainage procedures, choledochojejunostomy, choledocho-duodenostomy and sphincteroplasty in the treatment of primary duct calculi and cholangiohepatitis. Choledochoduodenostomy is simple, safe and particularly suitable for elderly and poor risk patients and in emergency situations. Sphincteroplasty has the advantage of dependent drainage, permits removal of impacted calculi and may be suitable when the common bile duct is not grossly dilated. Clearer understanding of the pathogenesis of biliary calculi and primary cholangiohepatitis is important to foster a more logical approach in the treatment of the disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0304-4602
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
213-7
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1981
pubmed:articleTitle
Controversies in biliary drainage for choledocholithiasis and cholangiohepatitis in Singapore.
pubmed:publicationType
Journal Article