ArticleDigestive diseases and sciences2013
Management for CBD stone-related mild to moderate acute cholangitis: urgent versus elective ERCP.
Article in Digestive diseases and sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Laparoscopic common bile duct exploration versus intraoperative endoscopic retrograde cholangiopancreatography in patients with gallbladder and common bile duct stones: a meta-analysis.Surgical endoscopy · 2021Pooled it
- Timing of Performing Endoscopic Retrograde Cholangiopancreatography and Inpatient Mortality in Acute Cholangitis: A Systematic Review and Meta-Analysis.Clinical and translational gastroenterology · 2020Pooled it
- Anisodamine accelerates spontaneous passage of single symptomatic bile duct stones ≤ 10 mm.World journal of gastroenterology · 2013Trial
- Index-admission versus referred elective endoscopic retrograde cholangiopancreatography (ERCP) for acute cholangitis in a resource-limited referral center: a real-world retrospective cohort study.Surgical endoscopy · 2026Article
- Timing of Endoscopic Biliary Drainage for Acute Cholangitis Associated with Common Bile Duct Stones in Elderly Patients: A Single-Center Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Safety and efficacy of single-stage endoscopic stone removal and the timing of ERCP for acute cholangitis: a multicenter study.BMC gastroenterology · 2026Article
- ERCP Performed Out-of-Working Hours Is Effective and Reliable for the Treatment of Acute Cholangitis.Gastroenterology research and practice · 2026Article
- Urgent Endoscopic Biliary Procedures: "Run Like the Wind"?Journal of clinical medicine · 2025Review
- Acute cholangitis: Does malignant biliary obstructionWorld journal of clinical cases · 2023Article
- Early and Direct Endoscopic Stone Removal in the Moderate Grade of Acute Cholangitis with Choledocholithiasis Was Safe and Effective: A Prospective Study.Life (Basel, Switzerland) · 2022Article
- Timing of endoscopic retrograde cholangiopancreatography in the treatment of acute cholangitis of different severity.World journal of gastroenterology · 2022Article
- Optimal timing of endoscopic retrograde cholangiopancreatography for acute cholangitis associated with distal malignant biliary obstruction.BMC gastroenterology · 2021Article
- Acute cholangitis in intensive care units: clinical, biological, microbiological spectrum and risk factors for mortality: a multicenter study.Critical care (London, England) · 2021Article
- Outcomes following early versus delayed cholecystectomy performed for acute cholangitis.Surgical endoscopy · 2020Article
- EarlyWorld journal of gastrointestinal endoscopy · 2019Article
- No Association of Timing of Endoscopic Biliary Drainage with Clinical Outcomes in Patients with Non-severe Acute Cholangitis.Digestive diseases and sciences · 2018Article
- Efficacy and Safety of Single-Session Endoscopic Stone Removal for Acute Cholangitis Associated with Choledocholithiasis.Canadian journal of gastroenterology & hepatology · 2018Article
- Safety of immediate endoscopic sphincterotomy in acute suppurative cholangitis caused by choledocholithiasis.World journal of gastrointestinal endoscopy · 2016Article
- Mortality Risk for Acute Cholangitis (MAC): a risk prediction model for in-hospital mortality in patients with acute cholangitis.BMC gastroenterology · 2016Article
- Early versus delayed laparoscopic common bile duct exploration for common bile duct stone-related nonsevere acute cholangitis.Scientific reports · 2015Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is no doubt that urgent biliary decompression needs to be done in case of severe acute cholangitis. However, it remains to be determined how early biliary decompression should be performed and elective intervention would be comparable to urgent intervention, in case of mild to moderate choledocholithiasis associated cholangitis.
methodsOne hundred ninety-five patients were enrolled who were diagnosed with mild to moderate cholangitis with common bile duct (CBD) stones between January 2006 and August 2010. They were divided into two groups according to door to intervention time, and urgent (≤24 h, n = 130) versus elective (>24 h, n = 82). Primary outcomes of this study were technical success rate (CBD stones removal) and clinical success rate (improvement of cholangitis) between the two groups. Hospital stay and intervention-related complications were also evaluated.
resultsThere was no statistically significant difference in technical, clinical success rate and intervention-related complications between the urgent and elective groups (P = 0.737, 0.285, 0.398, respectively). Patients in the urgent group had significantly shorter hospitalization than in the elective group (6.8 vs. 9.2 days, P < 0.001), and furthermore, intervention to discharge time was also significantly shorter by 1.1 days in the urgent group (P = 0.035). In terms of laboratory parameters, initial CRP level was the only factor correlated with hospital stay and intervention to discharge time.
conclusionsThis study demonstrates that urgent ERCP would be recommended in the management of patients with CBD stone-related mild to moderate acute cholangitis because of the advantage of short hospital stay and intervention to discharge time.
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