Timing af endoskopisk retrograd kolangiopankreatografi ved akut kolangitis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

The optimal timing for endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) remains unclear. The aim of this review is to clarify associations between timing of ERCP and clinical outcomes in patients with AC by discussing the current literature. Briefly, it is shown that ERCP before 72 and 48 hours of hospital admission is associated with reduced incidences of composite adverse outcomes and organ failure, respectively. ERCP before 24 hours seems to be associated with reduced 30-day mortality. Thus, performance of ERCP with biliary decompression within 24 hours from time of hospital admission is recommended in patients with AC.
OriginalsprogDansk
ArtikelnummerV10170806
TidsskriftUgeskrift for Laeger
Vol/bind180
Udgave nummer7
Sider (fra-til)595-598
ISSN0041-5782
StatusUdgivet - 2. apr. 2018

Emneord

  • behandling
  • endoskopisk retrograd kolangiopankreatikografi
  • galdevejssygdomme
  • kolangiopankreatikografi
  • kolangitis
  • Length of Stay
  • Acute Disease
  • Time-to-Treatment
  • Humans
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangitis/complications
  • Multiple Organ Failure/etiology
  • Practice Guidelines as Topic

Citer dette

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title = "Timing af endoskopisk retrograd kolangiopankreatografi ved akut kolangitis",
abstract = "The optimal timing for endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) remains unclear. The aim of this review is to clarify associations between timing of ERCP and clinical outcomes in patients with AC by discussing the current literature. Briefly, it is shown that ERCP before 72 and 48 hours of hospital admission is associated with reduced incidences of composite adverse outcomes and organ failure, respectively. ERCP before 24 hours seems to be associated with reduced 30-day mortality. Thus, performance of ERCP with biliary decompression within 24 hours from time of hospital admission is recommended in patients with AC.",
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author = "Ming Tan and {Schaffalitzky de Muckadell}, {Ove B.} and Laursen, {Stig Borbjerg}",
year = "2018",
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Timing af endoskopisk retrograd kolangiopankreatografi ved akut kolangitis. / Tan, Ming; Schaffalitzky de Muckadell, Ove B. ; Laursen, Stig Borbjerg.

I: Ugeskrift for Laeger, Bind 180, Nr. 7, V10170806, 02.04.2018, s. 595-598.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Timing af endoskopisk retrograd kolangiopankreatografi ved akut kolangitis

AU - Tan, Ming

AU - Schaffalitzky de Muckadell, Ove B.

AU - Laursen, Stig Borbjerg

PY - 2018/4/2

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N2 - The optimal timing for endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) remains unclear. The aim of this review is to clarify associations between timing of ERCP and clinical outcomes in patients with AC by discussing the current literature. Briefly, it is shown that ERCP before 72 and 48 hours of hospital admission is associated with reduced incidences of composite adverse outcomes and organ failure, respectively. ERCP before 24 hours seems to be associated with reduced 30-day mortality. Thus, performance of ERCP with biliary decompression within 24 hours from time of hospital admission is recommended in patients with AC.

AB - The optimal timing for endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) remains unclear. The aim of this review is to clarify associations between timing of ERCP and clinical outcomes in patients with AC by discussing the current literature. Briefly, it is shown that ERCP before 72 and 48 hours of hospital admission is associated with reduced incidences of composite adverse outcomes and organ failure, respectively. ERCP before 24 hours seems to be associated with reduced 30-day mortality. Thus, performance of ERCP with biliary decompression within 24 hours from time of hospital admission is recommended in patients with AC.

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KW - galdevejssygdomme

KW - kolangiopankreatikografi

KW - kolangitis

KW - Length of Stay

KW - Acute Disease

KW - Time-to-Treatment

KW - Humans

KW - Cholangiopancreatography, Endoscopic Retrograde

KW - Cholangitis/complications

KW - Multiple Organ Failure/etiology

KW - Practice Guidelines as Topic

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