Published online Jan 14, 2015. doi: 10.3748/wjg.v21.i2.533
Peer-review started: April 27, 2014
First decision: May 13, 2014
Revised: June 8, 2014
Accepted: July 11, 2014
Article in press: July 11, 2014
Published online: January 14, 2015
Core tip: To evaluate the need for thrombomodulin (rTM) in the management of acute cholangitis (AC)-induced disseminated intravascular coagulation (DIC), we retrospectively compared patients treated with rTM (rTM group) and without rTM (control group). DIC resolution rates were higher in the rTM group (P < 0.01). Multivariate analysis identified only the absence of biliary drainage as significantly associated with persistent DIC (P < 0.01), while there was a trend towards an association between persistent DIC and a lack of rTM (P = 0.08). Therefore, the add-on effects of rTM are anticipated in the treatment of AC-induced DIC, although biliary drainage remains crucial.