Cholangitis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is not the mainstay of improving the outcome of [[cholangitis]]. Initial management in patients | Surgery is not the mainstay of improving the outcome of [[cholangitis]]. Initial management in patients can be conserved through proper [[antibiotics]], as the majority of them can resolve symptoms. | ||
==Surgery== | ==Surgery== | ||
Revision as of 18:17, 20 September 2016
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Cholangitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cholangitis surgery On the Web |
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American Roentgen Ray Society Images of Cholangitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Surgery is not the mainstay of improving the outcome of cholangitis. Initial management in patients can be conserved through proper antibiotics, as the majority of them can resolve symptoms.
Surgery
Surgical options for cholangitis are not preferred for treatment options.[1]
- Proper antibiotic administration can resolve most symptoms.
- Only when sepsis progresses does biliary drainage become necessary.
If attempts at an endoscopic papillotomy (EP) or percutaneous transhepatic drainage (PTD) of the common bile duct is unsuccessful, surgical exploration should be carried out to control sepsis.[2] Clinical studies show that emergency surgery for patients suffering from acute cholangitis results in postoperative morbidity and mortality rates.[1]
References
- ↑ 1.0 1.1 Lai EC, Tam PC, Paterson IA, Ng MM, Fan ST, Choi TK, Wong J (1990). "Emergency surgery for severe acute cholangitis. Postoperative risk factors are high in surgery. The high-risk patients". Ann. Surg. 211 (1): 55–9. PMC 1357893. PMID 2294844.
- ↑ Himal HS, Lindsay T (1990). "Ascending cholangitis: surgery versus endoscopic or percutaneous drainage". Surgery. 108 (4): 629–33, discussion 633–4. PMID 2218872.