What is the role of endoscopic sphincterotomy in the treatment of acute cholangitis?

Updated: Dec 29, 2017
  • Author: Timothy M Scott, DO; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Zhang et al indicate that endoscopic sphincterotomy is safe and effective for temporary biliary decompression in patients with acute obstructive cholangitis, and endoscopic nasobiliary drainage without sphincterotomy may be considered as a first-line therapy in this setting. [18]  The investigators also suggested that endoscopic sphincterotomy may improve the effectiveness of endoscopic nasobiliary drainage in those with papillary inflammation stricture and thick bile.

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