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J Korean Soc Emerg Med > Volume 32(5); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(5): 400-407.
급성 담관염 환자에서 응급 역행 내시경 췌담관 조영술의 적절한 시간은?
이지현1 , 김균무2 , 장태창2 , 서영우2 , 고승현2 , 이숙희2
1대구가톨릭대학교병원 응급의학과
2대구가톨릭대학교 의과대학 응급의학교실
What is the appropriate time for emergent endoscopic retrograde cholangiopancreatography in patients with acute cholangitis?
Jihyun Lee1 , Gyunmoo Kim2 , Tae Chang Jang2 , Young Woo Seo2 , Seung Hyun Ko2 , Suk Hee Lee2
1Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea
2Department of Emergency Medicine, Daegu Catholic University School of Medicine, Daegu, Korea
Correspondence  Gyunmoo Kim ,Tel: 053-650-4091, Fax: 053-650-4931, Email: emprof@cu.ac.kr,
Received: August 12, 2020; Revised: October 18, 2020   Accepted: November 2, 2020.  Published online: October 31, 2021.
ABSTRACT
Objective:
Acute cholangitis is a clinical condition caused by infection of an obstructed biliary system, which is normally managed with intravenous fluids, antibiotics, and biliary drainage. Although endoscopic retrograde cholangiopancreatography (ERCP) is the preferred method of biliary drainage, guidelines for biliary drainage time remain unclear.
Method:
The current research is a retrospective study of patients with acute cholangitis who had undergone ERCP between January 2016 and December 2019. We investigated the effect of the time taken from visit to the emergency department and commencement of the ERCP, on hospital length of stay.
Results:
A total of 441 patients were included in this study. No association was observed between the severity of acute cholangitis and ERCP time. However, the length of hospital stay was significantly shorter for patients who underwent ERCP less than 12 hours after arrival at the emergency department.
Conclusion:
Conducting ERCP within 12 hours of arrival is associated with reduced hospital stays, regardless of the severity of acute cholangitis.
Key words: Cholangiopancreatography; Endoscopic retrograde; Cholangitis; Length of stay
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