Acute cholangitis

P. A. Lipsett; H. A. Pitt

doi:10.1016/S0039-6109(16)45285-0

Acute cholangitis

P. A. Lipsett, H. A. Pitt

School of Medicine

Research output: Contribution to journal › Article › peer-review

83 Scopus citations

Abstract

In recent years, nonoperative biliary manipulations have become an important cause of, as well as treatment for, cholangitis. As a result, Charcot's classic triad of symptoms is seen less frequently, and the variety of bacteria causing cholangitis has increased. Newer antibiotics make it possible to avoid the nephrotoxic aminoglycosides. Most patients do not require urgent biliary decompression and should have cholangiography and biliary manipulation only after the sepsis has resolved. However, the 5% to 10% of patients with 'toxic' cholangitis should undergo prompt biliary drainage.

Original language	English (US)
Pages (from-to)	1297-1312
Number of pages	16
Journal	Surgical Clinics of North America
Volume	70
Issue number	6
DOIs	https://doi.org/10.1016/S0039-6109(16)45285-0
State	Published - 1990

ASJC Scopus subject areas

Surgery

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10.1016/S0039-6109(16)45285-0

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abstract = "In recent years, nonoperative biliary manipulations have become an important cause of, as well as treatment for, cholangitis. As a result, Charcot's classic triad of symptoms is seen less frequently, and the variety of bacteria causing cholangitis has increased. Newer antibiotics make it possible to avoid the nephrotoxic aminoglycosides. Most patients do not require urgent biliary decompression and should have cholangiography and biliary manipulation only after the sepsis has resolved. However, the 5% to 10% of patients with 'toxic' cholangitis should undergo prompt biliary drainage.",

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AU - Pitt, H. A.

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AB - In recent years, nonoperative biliary manipulations have become an important cause of, as well as treatment for, cholangitis. As a result, Charcot's classic triad of symptoms is seen less frequently, and the variety of bacteria causing cholangitis has increased. Newer antibiotics make it possible to avoid the nephrotoxic aminoglycosides. Most patients do not require urgent biliary decompression and should have cholangiography and biliary manipulation only after the sepsis has resolved. However, the 5% to 10% of patients with 'toxic' cholangitis should undergo prompt biliary drainage.

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Acute cholangitis

Abstract

ASJC Scopus subject areas

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