Cholangitis risk factors: Difference between revisions
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*Advanced age (>70 years), neurologic disease, and [[periampullary diverticula are risk factors for development of cholangitis in patients with biliary stones | *Advanced age (>70 years), neurologic disease, and [[periampullary diverticula are risk factors for development of cholangitis in patients with biliary stones | ||
http://pubs.rsna.org/doi/full/10.1148/rg.297095051 | http://pubs.rsna.org/doi/full/10.1148/rg.297095051 | ||
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784509/ | |||
The bile of healthy subjects is generally aseptic. However, bile culture is positive for microorganisms in 16% of patients undergoing a non-biliary operation, in 72% of acute cholangitis patients, in 44% of chronic cholangitis patients, and in 50% of those with biliary obstruction (level 4).12 Bacteria in bile are identified in 90% of patients with choledocholithiasis accompanied by jaundice (level 4).13 Patients with incomplete obstruction of the bile duct present a higher positive bile culture rate than those with complete obstruction of the bile duct. Risk factors for bactobilia include various factors, as described above | |||
==References== | ==References== | ||
Revision as of 21:25, 8 April 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Common risk factors in the development of cholangitis are gallstones, sclerosing cholangitis, and HIV.
Risk Factors
- Previous history of gallstones
- Sclerosing cholangitis
- HIV
- Narrowing of the common bile duct
- Traveling to countries where you might catch a worm or parasite infection
- Advanced age (>70 years), neurologic disease, and [[periampullary diverticula are risk factors for development of cholangitis in patients with biliary stones
http://pubs.rsna.org/doi/full/10.1148/rg.297095051
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784509/ The bile of healthy subjects is generally aseptic. However, bile culture is positive for microorganisms in 16% of patients undergoing a non-biliary operation, in 72% of acute cholangitis patients, in 44% of chronic cholangitis patients, and in 50% of those with biliary obstruction (level 4).12 Bacteria in bile are identified in 90% of patients with choledocholithiasis accompanied by jaundice (level 4).13 Patients with incomplete obstruction of the bile duct present a higher positive bile culture rate than those with complete obstruction of the bile duct. Risk factors for bactobilia include various factors, as described above