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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.20 No.4
- 발행연도
- 2016.1
- 수록면
- 177 - 184 (8page)
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초록· 키워드
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Background: It is important to estimate the severity of early stage cholangitis in elderly patients to determine the most appropriate timing of biliary decompression. Abdominal computed tomography (CT) is the modality of choice for the diagnosis of cholangitis; however, studies evaluating the correlation between cholangitis severity and CT findings, specifically extrahepatic duct (EHD) diameter, are insufficient. Therefore, this study aimed to evaluate the relationship between EHD diameter and disease severity in elderly patients with cholangitis. Methods: A total of 155 patients over the age of 65 years, admitted to the Emergency Department, with a diagnosis of cholangitis from January 2010 to December 2015 were retrospectively analyzed. Using the Tokyo Guidelines 2013, patients were grouped into mild and moderate to severe cholangitis groups. We then analyzed the patient’s medical backgrounds, vital signs, and CT findings. To evaluate the significance of the CT findings in relation to cholangitis severity, a univariate analysis was performed within each group, using the collected variables. A multiple logistic regression analysis was performed using the variables with p<0.05. Results: On univariate analysis, EHD diameter (p<0.001) and combined cholecystitis (p=0.009) were found to be significant CT findings; EHD diameter (odds ratio [OR], 1.235; 95% confidence interval [CI], 1.115-1.368; p<0.001) and combined cholecystitis (OR, 2.666; 95% CI, 1.145-6.212; p=0.023) were also statistically significant after multiple logistic regression. Conclusion: In conclusion, increased EHD diameter was associated with disease severity in elderly patients with cholangitis. EHD diameter is easy to measure on CT and can be helpful in establishing an appropriate treatment plan.
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참고문헌 (27)
참고문헌 신청
Boey JH / 1980 / Acute cholangitis / Ann Surg 191:264~270
Yoon H / 2015 / Textbook of geriatric medicine / Panmun Education :369~374
Reshetnyak VI / 2012 / Concept of the pathogenesis and treatment of cholelithiasis / World J Hepatol 4:18~34
Kimura Y / 2013 / TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis / J Hepatobiliary Pancreat Sci 20:8~23
Kiriyama S / 2013 / TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos) / J Hepatobiliary Pancreat Sci 20:24~34
Yoon H / 2015 / Textbook of geriatric medicine / Panmun Education :369~374
Reshetnyak VI / 2012 / Concept of the pathogenesis and treatment of cholelithiasis / World J Hepatol 4:18~34
Kimura Y / 2013 / TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis / J Hepatobiliary Pancreat Sci 20:8~23
Kiriyama S / 2013 / TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos) / J Hepatobiliary Pancreat Sci 20:24~34
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