Ascending cholangitis surgical therapy: Difference between revisions
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{{Ascending cholangitis}}{{CMG}} | {{EH}}{{Ascending cholangitis}}{{CMG}} | ||
==Overview== | ==Overview== | ||
The mainstay of therapy is the establishment of biliary drainage, which can be accomplished endoscopically or percutaneously. Timing of the procedure depends on severity of the clinical presentation. [[Endoscopic retrograde cholangiopancreatography]] (ERCP) is used primarily. However, if the patient's condition is too unstable for ERCP, percutaneous transhepatic drainage can tide the patient over the acute crisis until definitive therapy can be planned. In all other cases, ERCP to determine the cause of the obstruction and provide drainage should be performed as soon as possible. | The mainstay of therapy is the establishment of biliary drainage, which can be accomplished endoscopically or percutaneously. Timing of the procedure depends on severity of the clinical presentation. [[Endoscopic retrograde cholangiopancreatography]] (ERCP) is used primarily. However, if the patient's condition is too unstable for ERCP, percutaneous transhepatic drainage can tide the patient over the acute crisis until definitive therapy can be planned. In all other cases, ERCP to determine the cause of the obstruction and provide drainage should be performed as soon as possible. | ||
Revision as of 16:26, 9 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
The mainstay of therapy is the establishment of biliary drainage, which can be accomplished endoscopically or percutaneously. Timing of the procedure depends on severity of the clinical presentation. Endoscopic retrograde cholangiopancreatography (ERCP) is used primarily. However, if the patient's condition is too unstable for ERCP, percutaneous transhepatic drainage can tide the patient over the acute crisis until definitive therapy can be planned. In all other cases, ERCP to determine the cause of the obstruction and provide drainage should be performed as soon as possible.