[Combined endoscopic percutaneous drainage and endoscopic biliary lithotripsy in the management of acute cholangitis. First experience in Panama].
Two unusual cases of acute cholangitis are presented. One patient had a 3 cm. common duct stone successfully fragmented with an endoscopic mechanical lithotriptor. The other patient had a hemigastrectomy with a Billroth II anastomosis. A combined percutaneous--endoscopic approach was required to perform the sphincterotomy and remove the duct stones. The different treatment alternatives and the literature are discussed.
Méndez
J R
JR
Servicio de Gastroenterología, Hospital Gorgas.
D000208:Acute Disease; D000368:Aged; D002761:Cholangitis / Q000628:therapy*; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods*; D016145:Endoscopy, Digestive System; D006801:Humans; D008096:Lithotripsy; D008297:Male; D010176:Panama
Litotricia biliar endoscópica y drenaje percutáneo endoscópico combinados en el manejo de la colangitis aguda. Primera experiencia en Panamá.