Health Condition 1: K838- Other specified diseases of biliary tract
Conditions
Interventions
Intervention1: Push Cholangiogram: ased antibiotic to be given 5minutes prior to cholangiogram or
empirically Inj. Cefaperazone sulbactam for prophylaxis of cholangitis in patients with a sterile
bi
Sponsors
Department of Surgical Gastroenteroogy
Eligibility
Inclusion criteria
Inclusion criteria: All the patients with indwelling biliary tubes (T tube, PTC, PTBD, PCC, ENBD) requiring direct cholangiography
Exclusion criteria
Exclusion criteria: Patients with active cholangitis or complete biliary obstruction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse reactions occurring within 24 hrs following the cholangiogram, and later, shall be recorded and classified as minor and major adverse reactions. Follow up to be done at 15 days and then again at 6months to look for any delayed adverse effects. Minor adverse reactions include two or more of - 1. Tachycardia (Heart Rate > 100/min) 2. Low grade fever ( 3. Abdominal pain and nausea in absence of fever which were significant enough to be noted in clinical records. 4. Alteration in LFTs or leucocytosis in absence of clinical manifestations (subclinical cholangitis) Major adverse reactions include two or more of - 1. High grade fever ( > 38.0 Degree Celsius) 2. Presence of Chills 3. Tachycardia 4. Hypotension 5. Oliguria 6. Need for unclamping the T Tube / PTBD catheterTimepoint: 24hrs, 15days, 6months | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy of both the techniques shall be analysed in terms of the objective achieved. The objectives of cholangiograms include: 1. Demonstration of any residual filling defect 2. Demonstration of Peri tubal/Anastomotic leak 3. Stenosis of the anastomosis 4. Persistence of cystobiliary communicationTimepoint: 24hrs | — |
Countries
India
Contacts
Public ContactPayal Kaw
Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
Outcome results
None listed