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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1993-12-9
|
| pubmed:abstractText |
The purpose of this paper is to evaluate factors affecting the outcome of cholangitis after PTBD in jaundiced cancer patients. Twenty nine patients with neoplastic jaundice (male/female ratio 13/16, median age 55 years) with full clinical data, were treated by PTBD and developed cholangitis at a median of 9 days later. Four patients (14%) died of biliary sepsis a median of one month after PTBD while the other 25 survived a median of 6 months, with one week median duration of cholangitis. The probability of the cholangitis resolving was analyzed by time to resolution and it was found that 50% and 100% of the recoveries occurred 5 and 9 months respectively from the onset of the complication. The series was analyzed to determine the role of several variables (disease/patient/treatment related) in the resolution of cholangitis. Only a low stricture site, a large initial drainage catheter (10F) and a temperature increase exceeding 39 degrees C were correlated with a positive outcome. We conclude that PTBD-related cholangitis has, in our experience, a good chance of cure, low mortality rate and satisfactory 6 months median survival.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0894-8569
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
6
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
287-93
|
| pubmed:dateRevised |
2008-11-20
|
| pubmed:meshHeading |
pubmed-meshheading:8217925-Acute Disease,
pubmed-meshheading:8217925-Adult,
pubmed-meshheading:8217925-Aged,
pubmed-meshheading:8217925-Bile,
pubmed-meshheading:8217925-Catheterization,
pubmed-meshheading:8217925-Cholangitis,
pubmed-meshheading:8217925-Cholestasis,
pubmed-meshheading:8217925-Drainage,
pubmed-meshheading:8217925-Equipment Design,
pubmed-meshheading:8217925-Female,
pubmed-meshheading:8217925-Follow-Up Studies,
pubmed-meshheading:8217925-Humans,
pubmed-meshheading:8217925-Liver Neoplasms,
pubmed-meshheading:8217925-Male,
pubmed-meshheading:8217925-Middle Aged,
pubmed-meshheading:8217925-Prognosis,
pubmed-meshheading:8217925-Recurrence,
pubmed-meshheading:8217925-Retrospective Studies,
pubmed-meshheading:8217925-Treatment Outcome
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
The outcome of cholangitis after percutaneous biliary drainage in neoplastic jaundice.
|
| pubmed:affiliation |
Surgical Oncology D, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano, Italy.
|
| pubmed:publicationType |
Journal Article
|