Ascending cholangitis risk factors: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ascending cholangitis}} | {{Ascending cholangitis}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{AHS}} | ||
==Overview== | ==Overview== | ||
Common risk factors in the development of ascending cholangitis include bile duct stones, history of gall stones, biliary strictures, and biliary tract surgery. Less common factors include immunodeffeciency, comorbidities and sclerosing cholangitis. There is a higher risk of acute cholangitis in patients with advanced age (>70) and smoking. | Common risk factors in the development of ascending cholangitis include [[bile duct stones]], history of [[gall stones]], [[biliary strictures]], and biliary tract surgery. Less common factors include immunodeffeciency, comorbidities and [[Primary sclerosing cholangitis|sclerosing cholangitis]]. There is a higher risk of acute cholangitis in patients with advanced age (>70) and smoking. | ||
==Risk Factors== | ==Risk Factors== | ||
There are multiple factors that predispose a person to develop ascending or acute cholangitis. Some of these are as follows | There are multiple factors that predispose a person to develop ascending or acute cholangitis. Some of these are as follows: | ||
=== Common Risk Factors === | === Common Risk Factors === | ||
* Common risk factors in the development of ascending cholangitis may be occupational, environmental, genetic, and viral. | * Common risk factors in the development of ascending cholangitis may be occupational, environmental, genetic, and viral. | ||
* Common risk factors in the development of ascending cholangitis include<ref name="pmid20981214">{{cite journal| author=Yeom DH, Oh HJ, Son YW, Kim TH| title=What are the risk factors for acute suppurative cholangitis caused by common bile duct stones? | journal=Gut Liver | year= 2010 | volume= 4 | issue= 3 | pages= 363-7 | pmid=20981214 | doi=10.5009/gnl.2010.4.3.363 | pmc=2956349 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20981214 }}</ref> | * Common risk factors in the development of ascending cholangitis include:<ref name="pmid20981214">{{cite journal| author=Yeom DH, Oh HJ, Son YW, Kim TH| title=What are the risk factors for acute suppurative cholangitis caused by common bile duct stones? | journal=Gut Liver | year= 2010 | volume= 4 | issue= 3 | pages= 363-7 | pmid=20981214 | doi=10.5009/gnl.2010.4.3.363 | pmc=2956349 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20981214 }}</ref><ref name="pmid2930289">{{cite journal| author=Gigot JF, Leese T, Dereme T, Coutinho J, Castaing D, Bismuth H| title=Acute cholangitis. Multivariate analysis of risk factors. | journal=Ann Surg | year= 1989 | volume= 209 | issue= 4 | pages= 435-8 | pmid=2930289 | doi= | pmc=1493983 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2930289 }}</ref> | ||
** Advanced age (more than 70 year's) | ** Advanced age (more than 70 year's) | ||
** Chronic smoking | ** Chronic smoking | ||
| Line 16: | Line 16: | ||
** Benign or malignant stricture | ** Benign or malignant stricture | ||
** Biliary tract surgery<ref name="pmid7716962">{{cite journal| author=Cybulski Z, Solarski J, Majewski W| title=[Infection as a risk factor in biliary system surgery]. | journal=Wiad Lek | year= 1994 | volume= 47 | issue= 15-16 | pages= 619-24 | pmid=7716962 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7716962 }}</ref> | ** Biliary tract surgery<ref name="pmid7716962">{{cite journal| author=Cybulski Z, Solarski J, Majewski W| title=[Infection as a risk factor in biliary system surgery]. | journal=Wiad Lek | year= 1994 | volume= 47 | issue= 15-16 | pages= 619-24 | pmid=7716962 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7716962 }}</ref> | ||
** ERCP<ref name="pmid1406012">{{cite journal| author=Sauter G, Ruckdeschel G, Sauerbruch T| title=[Antibiotic prevention and therapy of infectious complications in ERCP]. | journal=Leber Magen Darm | year= 1992 | volume= 22 | issue= 5 | pages= 173-6 | pmid=1406012 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1406012 }}</ref> | ** [[Endoscopic retrograde cholangiopancreatography|ERCP]]<ref name="pmid1406012">{{cite journal| author=Sauter G, Ruckdeschel G, Sauerbruch T| title=[Antibiotic prevention and therapy of infectious complications in ERCP]. | journal=Leber Magen Darm | year= 1992 | volume= 22 | issue= 5 | pages= 173-6 | pmid=1406012 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1406012 }}</ref> | ||
=== Less Common Risk Factors === | === Less Common Risk Factors === | ||
* Less common risk factors in the development of acute cholangitis include: | * Less common risk factors in the development of acute cholangitis include:<ref name="pmid17556906">{{cite journal| author=Tsujino T, Sugita R, Yoshida H, Yagioka H, Kogure H, Sasaki T et al.| title=Risk factors for acute suppurative cholangitis caused by bile duct stones. | journal=Eur J Gastroenterol Hepatol | year= 2007 | volume= 19 | issue= 7 | pages= 585-8 | pmid=17556906 | doi=10.1097/MEG.0b013e3281532b78 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17556906 }}</ref> | ||
** Travel to countries where you might catch a worm or parasite infection | ** Travel to countries where you might catch a worm or parasite infection | ||
** Sclerosing cholangitis | ** [[Primary sclerosing cholangitis|Sclerosing cholangitis]] | ||
** HIV | ** [[Human Immunodeficiency Virus (HIV)|HIV]] | ||
** Narrowing of the common bile duct | ** Narrowing of the common bile duct | ||
** Comorbid neurological disease | ** Comorbid neurological disease | ||
** Peripapillary diverticulum | ** [[Peripapillary diverticulum]] | ||
==References== | ==References== | ||
Latest revision as of 22:57, 15 October 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anila Hussain, MD [2]
Overview
Common risk factors in the development of ascending cholangitis include bile duct stones, history of gall stones, biliary strictures, and biliary tract surgery. Less common factors include immunodeffeciency, comorbidities and sclerosing cholangitis. There is a higher risk of acute cholangitis in patients with advanced age (>70) and smoking.
Risk Factors
There are multiple factors that predispose a person to develop ascending or acute cholangitis. Some of these are as follows:
Common Risk Factors
- Common risk factors in the development of ascending cholangitis may be occupational, environmental, genetic, and viral.
- Common risk factors in the development of ascending cholangitis include:[1][2]
Less Common Risk Factors
- Less common risk factors in the development of acute cholangitis include:[5]
- Travel to countries where you might catch a worm or parasite infection
- Sclerosing cholangitis
- HIV
- Narrowing of the common bile duct
- Comorbid neurological disease
- Peripapillary diverticulum
References
- ↑ Yeom DH, Oh HJ, Son YW, Kim TH (2010). "What are the risk factors for acute suppurative cholangitis caused by common bile duct stones?". Gut Liver. 4 (3): 363–7. doi:10.5009/gnl.2010.4.3.363. PMC 2956349. PMID 20981214.
- ↑ Gigot JF, Leese T, Dereme T, Coutinho J, Castaing D, Bismuth H (1989). "Acute cholangitis. Multivariate analysis of risk factors". Ann Surg. 209 (4): 435–8. PMC 1493983. PMID 2930289.
- ↑ 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.
- ↑ Sauter G, Ruckdeschel G, Sauerbruch T (1992). "[Antibiotic prevention and therapy of infectious complications in ERCP]". Leber Magen Darm. 22 (5): 173–6. PMID 1406012.
- ↑ Tsujino T, Sugita R, Yoshida H, Yagioka H, Kogure H, Sasaki T; et al. (2007). "Risk factors for acute suppurative cholangitis caused by bile duct stones". Eur J Gastroenterol Hepatol. 19 (7): 585–8. doi:10.1097/MEG.0b013e3281532b78. PMID 17556906.