1 / 10

Cholangitis

Cholangitis. Godwin Tse LA-TRAP Spring 2011. Definition.  Acute cholangitis – acute infection and inflammation of the biliary tree Other types Primary sclerosing cholangitis Recurrent pyogenic cholangitis AIDS-related cholangitis. Etiology.

lobo
Download Presentation

Cholangitis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cholangitis Godwin Tse LA-TRAP Spring 2011

  2. Definition •  Acute cholangitis – acute infection and inflammation of the biliary tree • Other types • Primary sclerosing cholangitis • Recurrent pyogenic cholangitis • AIDS-related cholangitis

  3. Etiology • Obstruction of the common bile duct due to gallstones • Benign strictures • Malignant strictures • Sclerosing cholangitis • Parasites

  4. Risk factors • Age > 50 years • Cholelithiasis (formation of gallstones) • Benign strictures • Malignant strictures • Postprocedure injury of bile ducts • History of sclerosing cholangitis

  5. Signs and Symptoms • Charcot’s Triad • Jaundice, fever, and RUQ pain • Reynold’s Pentad • Addition of altered mental status, and hypotension

  6. Tests • transabdominal ultrasound • Endoscopic ultrasound • CT • Magnetic resonance cholangiopancreatography(MRCP) • Endoscopic retrograde cholangiopancreatography (ERCP) • Lab tests • abnormal LFTs, elevated CRP, WBC

  7. Treatment • Broad spectrum antibiotics • Biliary drainage • ERCP • Percutaneous transhepatic cholangiography (PTC) • EUS guided drainage • Open surgical drainage

  8. References • http://www.rush.edu/rumc/page-1098987323769.html • http://emedicine.medscape.com/article/774245-overview • http://www.ncbi.nlm.nih.gov/books/NBK6921/ • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001335/ • https://online.epocrates.com/u/2921345/Ascending+cholangitis/Basics/Definition • Molsler P. 2011. Diagnosis and Management of Acute Cholangitis. Curr Gastroenterol Rep.13:166–172

More Related