Colangitis esclerosante secundaria en pacientes críticamente enfermos
Autor: | Carlos Alberto Peña-Pérez, Juan Alberto Díaz Ponce-Medrano |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Endoscopic retrograde cholangiopancreatography Cirrhosis medicine.diagnostic_test Bile duct business.industry medicine.medical_treatment 030230 surgery Liver transplantation medicine.disease Gastroenterology Primary sclerosing cholangitis Sepsis 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Recurrent pancreatitis Internal medicine medicine Secondary sclerosing cholangitis Surgery business |
Zdroj: | Cirugía y Cirujanos. 86 |
ISSN: | 0009-7411 |
DOI: | 10.24875/ciru.m18000003 |
Popis: | Primary sclerosing cholangitis (PSC) is a rare idiopathic condition with immunopathogenic mechanisms where there is chronic progressive destruction of the biliary tree. Secondary sclerosing cholangitis (SSC) is clinically comparable to PSC, but is caused by specific processes which directly damage the biliary tree; examples include recurrent pancreatitis, bile duct malignancy, congenital bile duct abnormalities. A new cause of SSC has been described during or following significant critical illness associated with severe respiratory insufficiency, vasopressor requirement, shock and sepsis. This condition rapidly progresses to cirrhosis, frequently requiring liver transplantation for definitive management. |
Databáze: | OpenAIRE |
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