Tan Ming, Schaffalitzky de Muckadell Ove B, Laursen Stig Borbjerg
Ugeskr Laeger. 2018 Apr 2;180(14).
The optimal timing for endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) remains unclear. The aim of this review is to clarify associations between timing of ERCP and clinical outcomes in patients with AC by discussing the current literature. Briefly, it is shown that ERCP before 72 and 48 hours of hospital admission is associated with reduced incidences of composite adverse outcomes and organ failure, respectively. ERCP before 24 hours seems to be associated with reduced 30-day mortality. Thus, performance of ERCP with biliary decompression within 24 hours from time of hospital admission is recommended in patients with AC.
急性胆管炎（AC）患者进行内镜逆行胰胆管造影（ERCP）的最佳时机仍不明确。本综述的目的是通过讨论当前文献来阐明AC患者ERCP时机与临床结局之间的关联。简而言之，研究表明，入院72小时和48小时前进行ERCP分别与复合不良结局和器官衰竭发生率降低相关。入院24小时前进行ERCP似乎与30天死亡率降低相关。因此，建议AC患者在入院后24小时内进行ERCP并进行胆道减压。
