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Timing af endoskopisk retrograd kolangiopankreatografi ved akut kolangitis

Ming Tan, Ove B. Schaffalitzky de Muckadell & Stig Borbjerg Laursen Afdeling for Medicinske Mavetarmsygdomme, Odense Universitetshospital Ugeskr Læger 2018;180:V10170806
Ugeskr Læger 2018;180:V10170806
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Timing of endoscopic retrograde cholangiopancreatography in patients with acute cholangitis
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
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