Common Bile Duct Calculi Clinical Trial
Official title:
An Open-labeled, Randomized Controlled Trial Comparing Between Short Duration And Standard Fourteen Days Antibiotic Treatments In Patients With Acute Common Bile Duct Stone Cholangitis After Successful Endoscopic Biliary Drainage
Common bile duct stone cholangitis is a potentially fatal condition, characterized by an obstruction and bacterial infection of biliary system. The principles of management are appropriate biliary drainage and systemic antibiotics. There has been limited data about appropriate time of antibiotics in patient with successful endoscopic drainage.
The aim is comparing the efficacy and safety between short duration and standard fourteen
days antibiotic treatment in patients with acute common bile duct stone (CBDS) cholangitis
after successful endoscopic biliary drainage as regards recurrence rate of acute cholangitis,
complete stone clearance rate, morbidity and mortality associated acute cholangitis, and
complications related ERCP procedure.
The study will be divided patients with acute CBDS cholangitis with complete stone clearance
into 2 groups, group (A) will be received intravenous antibiotic until the temperature is
less than 37.8 c for 72 hours and group (B) will be received intravenous antibiotic for 7
days, followed by oral antibiotic for 7 days, regardless of the body temperature.
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