수술 위험도가 높은 다장기 부전을 동반한 급성담낭염 환자에서 병상에서의 초음파유도하 경위 담낭 흡인 및 세척

Cholangitis and cholecystitis are intra-abdominal infections that show poor prognosis upon progression to sepsis and multiorgan failure. Administration of antibiotics with high antimicrobial susceptibility and removal of infected bile at the initial treatment are important. After undergoing ERCP for...

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Published inThe Korean journal of gastroenterology Vol. 65; no. 6; pp. 370 - 374
Main Authors 윤소희, So Hee Yun, 박문식, Moon Shik Park, 이재운, Jae Un Lee, 양민아, Min A Yang, 한상훈, Sang Hoon Han, 이영재, Young Jae Lee, 정금모, Geum Mo Jeong, 조용근, Yong Keun Cho, 김지웅, Ji Woong Kim, 조진웅, Jin Woong Cho
Format Journal Article
LanguageKorean
Published 대한소화기학회 30.06.2015
Subjects
Cholangitis
Cholecystitis
Endosonography
Rhabdomyolysis
Sepsis
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Summary:Cholangitis and cholecystitis are intra-abdominal infections that show poor prognosis upon progression to sepsis and multiorgan failure. Administration of antibiotics with high antimicrobial susceptibility and removal of infected bile at the initial treatment are important. After undergoing ERCP for diagnostic purposes, a 58-year-old man developed acute cholangitis and cholecystitis accompanied by rhabdomyolysis, multi-organ failure, and severe sepsis. Broad-spectrum antibiotics with bedside endoscopic nasobiliary drainage were administered, but clinical symptoms did not improve. Therefore, bedside EUS-guided transgastric gallbladder aspiration and lavage was performed, resulting in successful treatment of the patient. We report the above described case along with a discussion of relevant literature. (Korean J Gastroenterol 2015;65:370-374)
Bibliography:Korean Society of Gastroenterology
ISSN:1598-9992