title: Endoscopic nasobiliary drainage and percutaneous transhepatic biliary drainage for the treatment of acute obstructive suppurative cholangitis: a retrospective study of 37 cases.
abstract: OBJECTIVE
  This study compared the effectiveness and safety of endoscopic nasobiliary drainage(ENBD) to percutaneous transhepatic biliary drainage(PTBD) for the treatment of acute obstructive suppurative cholangitis (AOSC).
  
  
  METHODS
  AOSC patients were assigned to undergo either ENBD (n=22) or PTBD(n=15).
  
  
  RESULTS
  In the ENBD group, the procedure was successfully completed in 19 patients (86.4%), where- as it was converted to PTBD in 3 patients (13.6%) due to the failure of antegrade cholangiography. All the patients in the PTBD group underwent first- or second-look PTBD successfully.
  
  
  CONCLUSIONS
  ENBD is effective for the treatment of AOSC, facilitating subsequent endoscopic or surgical intervention. PTBD is an effective and safe alternative to ENBD in patients unsuitable for ENBD.
authors.affiliation: Department of Abdominal Surgery, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China. ouyang4110@163.com
authors.forename: Ou-Yang
authors.initials: OY
authors.lastname: Bin
authors.forename: Ke-Wei
authors.initials: KW
authors.lastname: Zeng
authors.forename: Hu-Wei
authors.initials: HW
authors.lastname: Hua
authors.forename: Xin-Qia
authors.initials: XQ
authors.lastname: Zhang
authors.forename: Feng-Ling
authors.initials: FL
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000175:diagnosis / Q000601:surgery*; D019299:Decompression, Surgical / Q000009:adverse effects / Q000379:methods*; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D004724:Endoscopy / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures; D012189:Retrospective Studies; D013492:Suppuration; D016896:Treatment Outcome