Bedside Biliary Drainage without Fluoroscopy for Critically Ill Patients
المؤلفون المشاركون
Lv, Nonghua
Zhou, Xiaojiang
Hong, Junbo
Zuo, Wei
Zhou, Xiaodong
Li, Guohua
Liu, Zhijian
Wang, Anjiang
Zhu, Yin
Chen, Youxiang
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-16
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Bedside biliary drainage by endoscopic retrograde cholangiopancreatography (ERCP) without fluoroscopy for critically ill patients in the intensive care unit (ICU) remains challenging for endoscopists.
The present study was to evaluate the efficacy and safety of radiation-free ERCP for these patients.
Methods.
Consecutive ICU patients with severe pancreaticobiliary disorders who underwent bedside radiation-free ERCP were retrospectively analyzed.
Results.
Radiation-free ERCP was performed in 80 patients with acute physiology and chronic health evaluation (APACHE II) score of 24.1±6.2.
Cannulation was achieved in 75 (93.75%) patients.
Biliary drainage was successfully conducted in 74 (92.5%) patients, including 54 (67.5%) and 20 (25.0%) cases of endoscopic retrograde biliary drainage (ERBD) and endoscopic nasobiliary drainage (ENBD), respectively.
Adverse event (mild post-ERCP pancreatitis (PEP)) occurred only in 1 case.
The 30-day mortality rate of these patients was 36.25% (29/80) and was much more higher in patients with ERBD in contrast to that of patients with ENBD, 40.7% (22/54) vs.
20% (4/20), OR=2.750, 95%CI=0.810−9.3405, P=0.110.
The APACHE II score in nonsurvivors was significantly higher than survivors, 27.6±4.3 versus 22.2±6.3, P=0.009.
The APACHE II score>22 was an independent risk factor for mortality, 50% versus 10.7%, 95%CI=2.148−31.569, P=0.002.
Conclusions.
Radiation-free ERCP guided bedside biliary drainage is effective and safe for critically ill patients, and ENBD may be an optimal procedure due to a low mortality in these patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hong, Junbo& Zuo, Wei& Zhou, Xiaodong& Zhou, Xiaojiang& Li, Guohua& Liu, Zhijian…[et al.]. 2020. Bedside Biliary Drainage without Fluoroscopy for Critically Ill Patients. BioMed Research International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1132757
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hong, Junbo…[et al.]. Bedside Biliary Drainage without Fluoroscopy for Critically Ill Patients. BioMed Research International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1132757
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hong, Junbo& Zuo, Wei& Zhou, Xiaodong& Zhou, Xiaojiang& Li, Guohua& Liu, Zhijian…[et al.]. Bedside Biliary Drainage without Fluoroscopy for Critically Ill Patients. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1132757
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1132757
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر