THE RELATIONSHIP BETWEEN SEVERITY OF ACUTE CHOLANGITIS WITH MORTALITY LEVEL

Abstract

Introduction: Acute cholangitis is still a big problem in Indonesia, especially in Saiful Anwar General Hospital Malang. This is due to the presence of primary stones in the biliary tract, malignancy, and stricture. Several actions were taken in dealing with mortality due to acute cholangitis, so this study aims to determine the relationship of severity with mortality in patients with acute cholangitis.

Material and Methods: Descriptive analytic research was conducted from January 2013 to December 2017. Data were collected from medical records of acute cholangitis patients treated at Saiful Anwar General Hospital Malang. The research subjects were 211. Bivariate analysis was carried out on the association of cholangitis diagnoses including the relationship of USG results, actions, and outputs.

Results: The incidence and epidemiology of acute cholangitis are not affected by sex. Mild severity 0.014%; moderate 74.88%; and severe 23.97%. The measures obtained at all the highest severity were cholecystectomy with CBD exploration (mild 66.67%; moderate 36.71%; severe 14%), then external drainage measures performed in 23 patients (moderate 12.3%; severe 8%). Patients who undergo cholecystectomy with CBD exploration have mortality at a moderate level of 12.07% and severe 28.57%. Whereas the external drainage measures have moderate mortality of 15.79%.

Conclusion: The relationship of severity with mortality in patients with acute cholangitis is that patients with cholecystectomy with CBD exploration show a higher percentage than the external drainage measures.