Management of Acute Cholangitis and Choledocholithiasis.
| Autor: | Smith SE; Department of General Surgery, Alaska Native Medical Center in Anchorage, 4315 Diplomacy Drive, Anchorage, AK 99508, USA. Electronic address: SarahEmilySmith@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | The Surgical clinics of North America [Surg Clin North Am] 2024 Dec; Vol. 104 (6), pp. 1175-1189. Date of Electronic Publication: 2024 Apr 27. |
| DOI: | 10.1016/j.suc.2024.03.007 |
| Abstrakt: | Acute cholangitis is a life-threatening emergency, caused by blockage of bile, most commonly by a gallstone (choledocholithiasis). Stasis of bile leads to an infection in the biliary tree known as cholangitis. Cholangitis is graded into 3 categories according to severity of symptoms. The infections are polymicrobial and are predominantly gram-negative rods. Management consists of early initiation of antibiotics and prompt biliary decompression. The biliary tree can be drained by endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, rendezvous, or surgical means. Future directions will focus on improving quality of and access to minimally invasive means of clearing the biliary tree. Competing Interests: Disclosure The author has nothing to disclose. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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