ArticleDigestive diseases and sciences2018
No Association of Timing of Endoscopic Biliary Drainage with Clinical Outcomes in Patients with Non-severe Acute Cholangitis.
Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Timing of Performing Endoscopic Retrograde Cholangiopancreatography and Inpatient Mortality in Acute Cholangitis: A Systematic Review and Meta-Analysis.Clinical and translational gastroenterology · 2020Pooled it
- 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
- 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
- Drainage-only strategy on weekend for endoscopic retrograde cholangiopancreatography on the risk of procedure-related adverse events: a prospective observational study.Therapeutic advances in gastroenterology · 2025Article
- Increased risk of biliary infection after biliary stent placement in users of proton pump inhibitors.DEN open · 2023Article
- Timing of endoscopic retrograde cholangiopancreatography in the treatment of acute cholangitis of different severity.World journal of gastroenterology · 2022Article
- Association of Timing of Biliary Drainage with Clinical Outcomes in Severe Acute Cholangitis: A Retrospective Cohort Study.International journal of general medicine · 2021Article
- Non-emergent Weekend ERCP: It Makes Sense-Now, Make It Work.Digestive diseases and sciences · 2020Article
Corrections and comments
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Authors and funding
16 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBiliary drainage via endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for acute cholangitis. Despite the established effectiveness of urgent biliary drainage in patients with severe acute cholangitis, the indication of this procedure for non-severe acute cholangitis is controversial.
aimsTo assess the safety of elective drainage (≥ 12 h of admission) for non-severe acute cholangitis.
methodsWe retrospectively identified 461 patients with non-severe acute cholangitis who underwent endoscopic biliary drainage. Using linear regression models with adjustment for a variety of potential confounders, we compared elective versus urgent biliary drainage (< 12 h of admission) in terms of clinical outcomes. The primary outcome was the length of stay.
resultsThere were 98 and 201 patients who underwent elective and urgent biliary drainage, respectively. The median length of stay was 11 days in both groups (P = 0.52). The timing of ERCP was not associated with length of stay in the multivariable model (P = 0.52). Secondary outcomes including in-hospital mortality and recurrence of cholangitis were not different between the groups.
conclusionsElective biliary drainage was not associated with worse clinical outcomes of non-severe acute cholangitis as compared to urgent drainage. Further investigation is warranted to justify the elective drainage for non-severe cholangitis.
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