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Incomplete or inappropriate endoscopic and radiologic interventions as leading causes of cholangitis

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Isik A., Poyanli A., Tekant Y., Cagatay A., Acunas B., Ibis C., Ozden I.

Polish Journal of Surgery

2021

vol. 93

issue 6

47-52

Background: Iatrogenic factors persist as leading mechanisms of cholangitis at a referral center. Methods: The records of 51 patients treated for cholangitis due to incomplete or inappropriate nonoperative biliary interventions between 2005-2016 were evaluated retrospectively. Results: Twenty-nine patients were men; median (range) age was 60 (30-90). An incomplete or inappropriate ERCP and percutaneous transhepatic biliary drainage (PTBD) had been performed in 45 and 6 patients respectively. Inappropriate endoscopic stenting for hilar obstruction (perihilar cholangiocarcinoma: 22 and gallbladder carcinoma:3) was the most common scenario (n: 25, 49%). Twenty other patients had undergone an ERCP with incomplete (n: 12) or no (n:8) drainage. The errors in the PTBD group were passage of the catheter to the duodenum in patients with hilar obstruction (n: 4) and incomplete drainage in patients with perihilar cholangiocarcinoma (n: 2). Two patients (4%) died of infection. The surgery of 6 operable tumor patients was delayed for median (range) 5 (1-7) months. Conclusions: Incomplete or inappropriate nonoperative biliary interventions put patients’ lives at risk and delay radical treatments.

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1 Polish Journal of Surgery

1 2021

1 Acunas B.

1 Cagatay A.

1 Ibis C.

1 Isik A.

1 Ozden I.

1 Poyanli A.

1 Tekant Y.

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Incomplete or inappropriate endoscopic and radiologic interventions as leading causes of cholangitis