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Titolo:
HIGH-VOLUME POSTOBSTRUCTIVE CHOLERESIS AFTER TRANSHEPATIC EXTERNAL BILIARY DRAINAGE RESOLVES WITH CONVERSION TO INTERNAL DRAINAGE
Autore:
SANDBORN WJ; GROSS JB; LARSON DE; PHILLIPS JK; LINDOR KD;
Indirizzi:
MAYO CLIN & MAYO FDN,DEPT INTERNAL MED,DIV GASTROENTEROL,HEPATOBILIARY UNIT,WEST 19A ROCHESTER MN 55905 MAYO CLIN & MAYO FDN,DEPT INTERNAL MED,DIV GASTROENTEROL,HEPATOBILIARY UNIT,WEST 19A ROCHESTER MN 55905
Titolo Testata:
Journal of clinical gastroenterology
fascicolo: 1, volume: 17, anno: 1993,
pagine: 42 - 45
SICI:
0192-0790(1993)17:1<42:HPCATE>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILE; OBSTRUCTION; EXCRETION;
Keywords:
JAUNDICE; BILIARY DUCTS, DRAINAGE; ELECTROLYTE IMBALANCE; CHOLERESIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
W.J. Sandborn et al., "HIGH-VOLUME POSTOBSTRUCTIVE CHOLERESIS AFTER TRANSHEPATIC EXTERNAL BILIARY DRAINAGE RESOLVES WITH CONVERSION TO INTERNAL DRAINAGE", Journal of clinical gastroenterology, 17(1), 1993, pp. 42-45

Abstract

We report high-volume postobstructive choleresis in two patients who underwent transhepatic external drainage for malignant biliary obstruction. Excessive loss of bicarbonate-rich biliary fluid (up to 6.5 L/day) caused orthostatic hypotension, prerenal insufficiency, hyponatremia, and a decrease in serum bicarbonate. Therapy with isotonic fluids containing sodium, chloride, lactate, bicarbonate, and potassium was based on measurement of biliary fluid volume and electrolyte concentrations. Biliary fluid loss was terminated by conversion to internal biliary drainage. The reason for this rare complication of external drainage of biliary obstruction is unknown, but such patients must be closelymonitored for volume loss. When high-volume choleresis occurs, biliary fluid and electrolyte losses should be precisely measured and replaced, and external biliary drainage converted to internal drainage.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 06:23:30