Prognosis
Most patients experience rapid clinical improvement once adequate biliary drainage is achieved, with improvement in haemodynamic parameters and systemic inflammatory response parameters. For patients with significant underlying medical conditions and those in whom decompression is delayed, prognosis is poorer. Predictive factors for poor prognosis include hyperbilirubinaemia, high fever, leukocytosis, older age, renal dysfunction, coagulopathy, and hypoalbuminaemia.[1][36] Patients requiring emergent surgery have higher rates of morbidity and mortality than those managed acutely with non-operative procedures.
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