Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial
Background: Endoscopic drainage has replaced emergent surgery for biliary decompression in patients with acute cholangitis. The aim of this study was to prospectively compare the efficacy of the nasobiliary catheter and indwelling stent as temporary measures for biliary decompression in acute suppur...
Gespeichert in:
| Veröffentlicht in: | Gastrointestinal endoscopy 2002-09, Vol.56 (3), p.361-365 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 365 |
|---|---|
| container_issue | 3 |
| container_start_page | 361 |
| container_title | Gastrointestinal endoscopy |
| container_volume | 56 |
| creator | Lee, Danny W.H. Chan, Angus C.W. Lam, Yuk-hoi Ng, Enders K.W. Lau, James Y.W. Law, Bonita K.B. Lai, Chi-wai Sung, Joseph J.Y. Chung, S.C.Sydney |
| description | Background: Endoscopic drainage has replaced emergent surgery for biliary decompression in patients with acute cholangitis. The aim of this study was to prospectively compare the efficacy of the nasobiliary catheter and indwelling stent as temporary measures for biliary decompression in acute suppurative cholangitis caused by bile duct stones.
Methods: Over a 60-month period, 79 patients with acute cholangitis who required emergent endoscopic drainage were recruited. Indications for urgent drainage included any one of the following: temperature greater than 39°C, septic shock with systolic blood pressure less than 90 mm Hg, increasing abdominal pain, and impaired level of consciousness. Patients who had previously undergone sphincterotomy or had coexisting intrahepatic duct stones were excluded. After successful bile duct cannulation, patients were randomized to receive either a nasobiliary catheter or indwelling stent without sphincterotomy for biliary decompression. Outcome measures included procedure time, complications, clinical response, and patient discomfort (scored with a 10-cm, unscaled visual analog score).
Results: Of the 79 patients, 5 were excluded because of previous sphincterotomy and intrahepatic duct stones, 40 were randomized to receive a nasobiliary catheter (NBC group), and 34 to receive indwelling stent (stent group). Demographic data were similar between the groups. All procedures were successful in the NBC group; there was one failure in the stent group. The mean (SD) procedure time was similar (NBC group 14.0 [9.3] minutes vs. stent group 11.4 [7.2] min). There were 2 ERCP-related complications in the NBC group. Four patients pulled out the nasobiliary catheter and one catheter became kinked. One stent occluded. There was a significantly lower mean (SD) patient discomfort score on day 1 after the procedure in the stent group (stent group 1.8 [2.6] vs. NBC group 3.9 [2.7];
p = 0.02
t test). The overall mortality rate was 6.8% (2.5% NBC group vs. 12% stent group).
Conclusion: Endoscopic biliary decompression by nasobiliary catheter or indwelling stent was equally effective for patients with acute suppurative cholangitis caused by bile duct stones. The indwelling stent was associated with less postprocedure discomfort and avoided the potential problem of inadvertent removal of the nasobiliary catheter. (Gastrointest Endosc 2002;56:361-5.) |
| doi_str_mv | 10.1016/S0016-5107(02)70039-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72027441</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0016510702700394</els_id><sourcerecordid>72027441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3563-1123cc6ba1d167bae4e3bcc58f95ab18d32f57ebc2d71bfca9f9ec51655736583</originalsourceid><addsrcrecordid>eNqFkM1u1TAQRi0EopfCI4C8AcEi4J84TtigUkFbqRILYG3Zkwk1SuJgO5XaDa-Oe2-gSzYeyXNm_PkQ8pyzt5zx5t1XVs5KcaZfM_FGMya7qn5Adpx1umq07h6S3T_kiDxJ6SdjrBWSPyZHXPCuMHJHfn_0o7fxhvYIYVoipuTDTN0NnW0KbmuCzVeYMdIQ6d-7lHHO1M_UwpqRpnVZ1mizv0YKV2G08w-ffXpPT-gSQ1oQ9q1o5z5M_hZ7mqO341PyaLBjwmdbPSbfP3_6dnpeXX45uzg9uaxAqkZWnAsJ0DjLe95oZ7FG6QBUO3TKOt72UgxKowPRa-4GsN3QISjeKKVlo1p5TF4d9pYwv1ZM2Uw-AY4lJ4Y1GS2Y0HXNC6gOIJTUKeJgluin8mHDmbkzb_bmzZ1Ww4TZmzd1mXuxPbC6Cfv7qU11AV5ugE1gx6GYAJ_uOdm2TKuucB8OHBYd1x6jSeBxBux9LBJNH_x_ovwB2GijUA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72027441</pqid></control><display><type>article</type><title>Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Lee, Danny W.H. ; Chan, Angus C.W. ; Lam, Yuk-hoi ; Ng, Enders K.W. ; Lau, James Y.W. ; Law, Bonita K.B. ; Lai, Chi-wai ; Sung, Joseph J.Y. ; Chung, S.C.Sydney</creator><creatorcontrib>Lee, Danny W.H. ; Chan, Angus C.W. ; Lam, Yuk-hoi ; Ng, Enders K.W. ; Lau, James Y.W. ; Law, Bonita K.B. ; Lai, Chi-wai ; Sung, Joseph J.Y. ; Chung, S.C.Sydney</creatorcontrib><description>Background: Endoscopic drainage has replaced emergent surgery for biliary decompression in patients with acute cholangitis. The aim of this study was to prospectively compare the efficacy of the nasobiliary catheter and indwelling stent as temporary measures for biliary decompression in acute suppurative cholangitis caused by bile duct stones.
Methods: Over a 60-month period, 79 patients with acute cholangitis who required emergent endoscopic drainage were recruited. Indications for urgent drainage included any one of the following: temperature greater than 39°C, septic shock with systolic blood pressure less than 90 mm Hg, increasing abdominal pain, and impaired level of consciousness. Patients who had previously undergone sphincterotomy or had coexisting intrahepatic duct stones were excluded. After successful bile duct cannulation, patients were randomized to receive either a nasobiliary catheter or indwelling stent without sphincterotomy for biliary decompression. Outcome measures included procedure time, complications, clinical response, and patient discomfort (scored with a 10-cm, unscaled visual analog score).
Results: Of the 79 patients, 5 were excluded because of previous sphincterotomy and intrahepatic duct stones, 40 were randomized to receive a nasobiliary catheter (NBC group), and 34 to receive indwelling stent (stent group). Demographic data were similar between the groups. All procedures were successful in the NBC group; there was one failure in the stent group. The mean (SD) procedure time was similar (NBC group 14.0 [9.3] minutes vs. stent group 11.4 [7.2] min). There were 2 ERCP-related complications in the NBC group. Four patients pulled out the nasobiliary catheter and one catheter became kinked. One stent occluded. There was a significantly lower mean (SD) patient discomfort score on day 1 after the procedure in the stent group (stent group 1.8 [2.6] vs. NBC group 3.9 [2.7];
p = 0.02
t test). The overall mortality rate was 6.8% (2.5% NBC group vs. 12% stent group).
Conclusion: Endoscopic biliary decompression by nasobiliary catheter or indwelling stent was equally effective for patients with acute suppurative cholangitis caused by bile duct stones. The indwelling stent was associated with less postprocedure discomfort and avoided the potential problem of inadvertent removal of the nasobiliary catheter. (Gastrointest Endosc 2002;56:361-5.)</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(02)70039-4</identifier><identifier>PMID: 12196773</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Acute Disease ; Adult ; Aged ; Aged, 80 and over ; Bile Duct Diseases - complications ; Bile Duct Diseases - pathology ; Bile Ducts - pathology ; Bile Ducts - surgery ; Biological and medical sciences ; Catheterization ; Catheters, Indwelling ; Cholangitis - etiology ; Cholangitis - pathology ; Cholangitis - surgery ; Cholelithiasis - complications ; Cholelithiasis - pathology ; Decompression, Surgical ; Diseases of the digestive system ; Endoscopy, Digestive System ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Nasal Cavity - pathology ; Nasal Cavity - surgery ; Prospective Studies ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stents</subject><ispartof>Gastrointestinal endoscopy, 2002-09, Vol.56 (3), p.361-365</ispartof><rights>2002 American Society for Gastrointestinal Endoscopy</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3563-1123cc6ba1d167bae4e3bcc58f95ab18d32f57ebc2d71bfca9f9ec51655736583</citedby><cites>FETCH-LOGICAL-c3563-1123cc6ba1d167bae4e3bcc58f95ab18d32f57ebc2d71bfca9f9ec51655736583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0016510702700394$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13880759$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12196773$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Danny W.H.</creatorcontrib><creatorcontrib>Chan, Angus C.W.</creatorcontrib><creatorcontrib>Lam, Yuk-hoi</creatorcontrib><creatorcontrib>Ng, Enders K.W.</creatorcontrib><creatorcontrib>Lau, James Y.W.</creatorcontrib><creatorcontrib>Law, Bonita K.B.</creatorcontrib><creatorcontrib>Lai, Chi-wai</creatorcontrib><creatorcontrib>Sung, Joseph J.Y.</creatorcontrib><creatorcontrib>Chung, S.C.Sydney</creatorcontrib><title>Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background: Endoscopic drainage has replaced emergent surgery for biliary decompression in patients with acute cholangitis. The aim of this study was to prospectively compare the efficacy of the nasobiliary catheter and indwelling stent as temporary measures for biliary decompression in acute suppurative cholangitis caused by bile duct stones.
Methods: Over a 60-month period, 79 patients with acute cholangitis who required emergent endoscopic drainage were recruited. Indications for urgent drainage included any one of the following: temperature greater than 39°C, septic shock with systolic blood pressure less than 90 mm Hg, increasing abdominal pain, and impaired level of consciousness. Patients who had previously undergone sphincterotomy or had coexisting intrahepatic duct stones were excluded. After successful bile duct cannulation, patients were randomized to receive either a nasobiliary catheter or indwelling stent without sphincterotomy for biliary decompression. Outcome measures included procedure time, complications, clinical response, and patient discomfort (scored with a 10-cm, unscaled visual analog score).
Results: Of the 79 patients, 5 were excluded because of previous sphincterotomy and intrahepatic duct stones, 40 were randomized to receive a nasobiliary catheter (NBC group), and 34 to receive indwelling stent (stent group). Demographic data were similar between the groups. All procedures were successful in the NBC group; there was one failure in the stent group. The mean (SD) procedure time was similar (NBC group 14.0 [9.3] minutes vs. stent group 11.4 [7.2] min). There were 2 ERCP-related complications in the NBC group. Four patients pulled out the nasobiliary catheter and one catheter became kinked. One stent occluded. There was a significantly lower mean (SD) patient discomfort score on day 1 after the procedure in the stent group (stent group 1.8 [2.6] vs. NBC group 3.9 [2.7];
p = 0.02
t test). The overall mortality rate was 6.8% (2.5% NBC group vs. 12% stent group).
Conclusion: Endoscopic biliary decompression by nasobiliary catheter or indwelling stent was equally effective for patients with acute suppurative cholangitis caused by bile duct stones. The indwelling stent was associated with less postprocedure discomfort and avoided the potential problem of inadvertent removal of the nasobiliary catheter. (Gastrointest Endosc 2002;56:361-5.)</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bile Duct Diseases - complications</subject><subject>Bile Duct Diseases - pathology</subject><subject>Bile Ducts - pathology</subject><subject>Bile Ducts - surgery</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Catheters, Indwelling</subject><subject>Cholangitis - etiology</subject><subject>Cholangitis - pathology</subject><subject>Cholangitis - surgery</subject><subject>Cholelithiasis - complications</subject><subject>Cholelithiasis - pathology</subject><subject>Decompression, Surgical</subject><subject>Diseases of the digestive system</subject><subject>Endoscopy, Digestive System</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nasal Cavity - pathology</subject><subject>Nasal Cavity - surgery</subject><subject>Prospective Studies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Stents</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1u1TAQRi0EopfCI4C8AcEi4J84TtigUkFbqRILYG3Zkwk1SuJgO5XaDa-Oe2-gSzYeyXNm_PkQ8pyzt5zx5t1XVs5KcaZfM_FGMya7qn5Adpx1umq07h6S3T_kiDxJ6SdjrBWSPyZHXPCuMHJHfn_0o7fxhvYIYVoipuTDTN0NnW0KbmuCzVeYMdIQ6d-7lHHO1M_UwpqRpnVZ1mizv0YKV2G08w-ffXpPT-gSQ1oQ9q1o5z5M_hZ7mqO341PyaLBjwmdbPSbfP3_6dnpeXX45uzg9uaxAqkZWnAsJ0DjLe95oZ7FG6QBUO3TKOt72UgxKowPRa-4GsN3QISjeKKVlo1p5TF4d9pYwv1ZM2Uw-AY4lJ4Y1GS2Y0HXNC6gOIJTUKeJgluin8mHDmbkzb_bmzZ1Ww4TZmzd1mXuxPbC6Cfv7qU11AV5ugE1gx6GYAJ_uOdm2TKuucB8OHBYd1x6jSeBxBux9LBJNH_x_ovwB2GijUA</recordid><startdate>200209</startdate><enddate>200209</enddate><creator>Lee, Danny W.H.</creator><creator>Chan, Angus C.W.</creator><creator>Lam, Yuk-hoi</creator><creator>Ng, Enders K.W.</creator><creator>Lau, James Y.W.</creator><creator>Law, Bonita K.B.</creator><creator>Lai, Chi-wai</creator><creator>Sung, Joseph J.Y.</creator><creator>Chung, S.C.Sydney</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200209</creationdate><title>Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial</title><author>Lee, Danny W.H. ; Chan, Angus C.W. ; Lam, Yuk-hoi ; Ng, Enders K.W. ; Lau, James Y.W. ; Law, Bonita K.B. ; Lai, Chi-wai ; Sung, Joseph J.Y. ; Chung, S.C.Sydney</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3563-1123cc6ba1d167bae4e3bcc58f95ab18d32f57ebc2d71bfca9f9ec51655736583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bile Duct Diseases - complications</topic><topic>Bile Duct Diseases - pathology</topic><topic>Bile Ducts - pathology</topic><topic>Bile Ducts - surgery</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Catheters, Indwelling</topic><topic>Cholangitis - etiology</topic><topic>Cholangitis - pathology</topic><topic>Cholangitis - surgery</topic><topic>Cholelithiasis - complications</topic><topic>Cholelithiasis - pathology</topic><topic>Decompression, Surgical</topic><topic>Diseases of the digestive system</topic><topic>Endoscopy, Digestive System</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nasal Cavity - pathology</topic><topic>Nasal Cavity - surgery</topic><topic>Prospective Studies</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Danny W.H.</creatorcontrib><creatorcontrib>Chan, Angus C.W.</creatorcontrib><creatorcontrib>Lam, Yuk-hoi</creatorcontrib><creatorcontrib>Ng, Enders K.W.</creatorcontrib><creatorcontrib>Lau, James Y.W.</creatorcontrib><creatorcontrib>Law, Bonita K.B.</creatorcontrib><creatorcontrib>Lai, Chi-wai</creatorcontrib><creatorcontrib>Sung, Joseph J.Y.</creatorcontrib><creatorcontrib>Chung, S.C.Sydney</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Danny W.H.</au><au>Chan, Angus C.W.</au><au>Lam, Yuk-hoi</au><au>Ng, Enders K.W.</au><au>Lau, James Y.W.</au><au>Law, Bonita K.B.</au><au>Lai, Chi-wai</au><au>Sung, Joseph J.Y.</au><au>Chung, S.C.Sydney</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>2002-09</date><risdate>2002</risdate><volume>56</volume><issue>3</issue><spage>361</spage><epage>365</epage><pages>361-365</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><abstract>Background: Endoscopic drainage has replaced emergent surgery for biliary decompression in patients with acute cholangitis. The aim of this study was to prospectively compare the efficacy of the nasobiliary catheter and indwelling stent as temporary measures for biliary decompression in acute suppurative cholangitis caused by bile duct stones.
Methods: Over a 60-month period, 79 patients with acute cholangitis who required emergent endoscopic drainage were recruited. Indications for urgent drainage included any one of the following: temperature greater than 39°C, septic shock with systolic blood pressure less than 90 mm Hg, increasing abdominal pain, and impaired level of consciousness. Patients who had previously undergone sphincterotomy or had coexisting intrahepatic duct stones were excluded. After successful bile duct cannulation, patients were randomized to receive either a nasobiliary catheter or indwelling stent without sphincterotomy for biliary decompression. Outcome measures included procedure time, complications, clinical response, and patient discomfort (scored with a 10-cm, unscaled visual analog score).
Results: Of the 79 patients, 5 were excluded because of previous sphincterotomy and intrahepatic duct stones, 40 were randomized to receive a nasobiliary catheter (NBC group), and 34 to receive indwelling stent (stent group). Demographic data were similar between the groups. All procedures were successful in the NBC group; there was one failure in the stent group. The mean (SD) procedure time was similar (NBC group 14.0 [9.3] minutes vs. stent group 11.4 [7.2] min). There were 2 ERCP-related complications in the NBC group. Four patients pulled out the nasobiliary catheter and one catheter became kinked. One stent occluded. There was a significantly lower mean (SD) patient discomfort score on day 1 after the procedure in the stent group (stent group 1.8 [2.6] vs. NBC group 3.9 [2.7];
p = 0.02
t test). The overall mortality rate was 6.8% (2.5% NBC group vs. 12% stent group).
Conclusion: Endoscopic biliary decompression by nasobiliary catheter or indwelling stent was equally effective for patients with acute suppurative cholangitis caused by bile duct stones. The indwelling stent was associated with less postprocedure discomfort and avoided the potential problem of inadvertent removal of the nasobiliary catheter. (Gastrointest Endosc 2002;56:361-5.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>12196773</pmid><doi>10.1016/S0016-5107(02)70039-4</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0016-5107 |
| ispartof | Gastrointestinal endoscopy, 2002-09, Vol.56 (3), p.361-365 |
| issn | 0016-5107 1097-6779 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72027441 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Acute Disease Adult Aged Aged, 80 and over Bile Duct Diseases - complications Bile Duct Diseases - pathology Bile Ducts - pathology Bile Ducts - surgery Biological and medical sciences Catheterization Catheters, Indwelling Cholangitis - etiology Cholangitis - pathology Cholangitis - surgery Cholelithiasis - complications Cholelithiasis - pathology Decompression, Surgical Diseases of the digestive system Endoscopy, Digestive System Female Humans Male Medical sciences Middle Aged Nasal Cavity - pathology Nasal Cavity - surgery Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stents |
| title | Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: A prospective randomized trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T07%3A51%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Biliary%20decompression%20by%20nasobiliary%20catheter%20or%20biliary%20stent%20in%20acute%20suppurative%20cholangitis:%20A%20prospective%20randomized%20trial&rft.jtitle=Gastrointestinal%20endoscopy&rft.au=Lee,%20Danny%20W.H.&rft.date=2002-09&rft.volume=56&rft.issue=3&rft.spage=361&rft.epage=365&rft.pages=361-365&rft.issn=0016-5107&rft.eissn=1097-6779&rft.coden=GAENBQ&rft_id=info:doi/10.1016/S0016-5107(02)70039-4&rft_dat=%3Cproquest_cross%3E72027441%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72027441&rft_id=info:pmid/12196773&rft_els_id=S0016510702700394&rfr_iscdi=true |