Cholangitis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
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Overview
Secondary prevention strategies for cholangitis includes continued treatment of predisposing causes in appropriate patients to prevent the recurrence of cholangitis.
Secondary Prevention
Secondary prevention strategies for cholangitis include continued treatment of predisposing causes in appropriate patients to avoid the recurrence of cholangitis :
- Infection due to instrumentation of biliary tract:[1][2][3]
- Appropriate antibiotics
- Biliary drainage
- Cholangitis due to gallstones/cholelithiasis:[4][5][6]
- Initially endoscopic papilotomy/sphincterotomy should be done for biliary drainage and stone removal.
- Laparoscopic cholecystectomy should be followed thereafter as doing cholecystectomy alone would not prevent recurrence of cholangitis.
References
- ↑ Bu LN, Chen HL, Chang CJ, Ni YH, Hsu HY, Lai HS; et al. (2003). "Prophylactic oral antibiotics in prevention of recurrent cholangitis after the Kasai portoenterostomy". J Pediatr Surg. 38 (4): 590–3. doi:10.1053/jpsu.2003.50128. PMID 12677572.
- ↑ Cybulski Z, Solarski J, Majewski W (1994). "[Infection as a risk factor in biliary system surgery]". Wiad Lek. 47 (15–16): 619–24. PMID 7716962.
- ↑ van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ (1994). "Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis". Clin Infect Dis. 19 (2): 279–86. PMID 7986900.
- ↑ Holzheimer, R (2001). Surgical treatment : evidence-based and problem-oriented. München New York: Zuckschwerdt. ISBN 978-3886037148.
- ↑ Poon RT, Liu CL, Lo CM, Lam CM, Yuen WK, Yeung C; et al. (2001). "Management of gallstone cholangitis in the era of laparoscopic cholecystectomy". Arch Surg. 136 (1): 11–6. PMID 11146767.
- ↑ Himal HS (1991). "The role of endoscopic papillotomy in ascending cholangitis". Am Surg. 57 (4): 241–4. PMID 2053744.