No treatment is recommended for silent gallstones. The diagnosis of acute cholecystitis is based on clinical and biological signs and on abdominal sonography. Early laparoscopic cholecystectomy is the treatment of choice, except in case of severe grade III cholecystitis where a percutaneous cholecystostomy associated with antibiotic therapy is recommended. The diagnostic accuracy of abdominal sonography for the diagnosis of common bile duct stones is poor.
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We'd like to understand how you use our websites in order to improve them. Register your interest. A biliary infection has to be managed immediately, with sufficient drainage and adequate antibiotherapy. We looked retrospectively after 40 patients, admitted for acute cholangitis attributed to biliary stones. An ERCP followed by a sphincterotomy was performed in all cases, with partial or total extraction of biliary calculi. A sufficient drainage was always achieved. There is no mortality.
Old people mean age : 80 without signs of acute cholecystitis — 16 patients — did not undergo cholecystectomy. Immediate endoscopic management is efficient and rather innocuous ; it is proposed as first attempt in case of acute cholangitis. This is a preview of subscription content, log in to check access. BOEY J. In Surgery of the gallbladder and bile ducts. Endoscopy , , 15, — World J. Editor , W. Saunders, Philadelphia, , — Google Scholar. An analysis of clinical manifestation.
Technique, indications and results. Endoscopy , , 13, — Endoscopy , , 12, — Download references. Correspondence to Nadine Bourgeois or J. Jeanmart or G. Costamagna or M. Delhaye or J. Ansay or M. Bourgeois, N. Acta Endosc 16, — Download citation. Issue Date : August Search SpringerLink Search. Summary A biliary infection has to be managed immediately, with sufficient drainage and adequate antibiotherapy. Cremer Authors Nadine Bourgeois View author publications.
You can also search for this author in PubMed Google Scholar. View author publications. About this article Cite this article Bourgeois, N.
L’angiocholite aiguë: Une indication particulière de ľendoscopie agressive précoce