title: Endoscopic nasobiliary drainage in acute suppurative cholangitis.
abstract: BACKGROUND
  Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of the biliary tree, endoscopic, percutaneous or surgical.
  
  
  OBJECTIVE
  To study the effect of emergency endoscopic nasobiliary drainage (ENBD) in acute suppurative calculous cholangitis.
  
  
  METHODS
  In 37 patients with calculous cholangitis, an endoscopic nasobiliary drain (7 F) was placed in the biliary tree above the site of obstruction to ensure continuous biliary drainage.
  
  
  RESULTS
  Success rate was 100% and there was no mortality. ENBD was performed in 4 very sick patients without the aid of fluoroscopy. Cholangitis improved in 36 of 37 patients within 12-24 hours. When the clinical condition improved, all the 36 patients were taken up for elective biliary surgery or endoscopic sphincterotomy and stone extraction.
  
  
  CONCLUSIONS
  Emergency endoscopic nasobiliary drainage is an effective method in managing patients with acute suppurative calculous cholangitis.
authors.affiliation: Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh.
authors.forename: Y K
authors.initials: YK
authors.lastname: Chawla
authors.forename: B C
authors.initials: BC
authors.lastname: Sharma
authors.forename: J B
authors.initials: JB
authors.lastname: Dilawari
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001659:Biliary Tract; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013492:Suppuration