Cholangitis secondary prevention: Difference between revisions
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==Secondary Prevention== | ==Secondary Prevention== | ||
Secondary prevention strategies for cholangitis include continued treatment of predisposing causes in appropriate patients: | 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:<ref name="pmid12677572">{{cite journal| author=Bu LN, Chen HL, Chang CJ, Ni YH, Hsu HY, Lai HS et al.| title=Prophylactic oral antibiotics in prevention of recurrent cholangitis after the Kasai portoenterostomy. | journal=J Pediatr Surg | year= 2003 | volume= 38 | issue= 4 | pages= 590-3 | pmid=12677572 | doi=10.1053/jpsu.2003.50128 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12677572 }} </ref><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><ref name="pmid7986900">{{cite journal| author=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ| title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis. | journal=Clin Infect Dis | year= 1994 | volume= 19 | issue= 2 | pages= 279-86 | pmid=7986900 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7986900 }} </ref> | *Infection due to instrumentation of biliary tract:<ref name="pmid12677572">{{cite journal| author=Bu LN, Chen HL, Chang CJ, Ni YH, Hsu HY, Lai HS et al.| title=Prophylactic oral antibiotics in prevention of recurrent cholangitis after the Kasai portoenterostomy. | journal=J Pediatr Surg | year= 2003 | volume= 38 | issue= 4 | pages= 590-3 | pmid=12677572 | doi=10.1053/jpsu.2003.50128 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12677572 }} </ref><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><ref name="pmid7986900">{{cite journal| author=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ| title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis. | journal=Clin Infect Dis | year= 1994 | volume= 19 | issue= 2 | pages= 279-86 | pmid=7986900 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7986900 }} </ref> | ||
**Appropriate antibiotics | **Appropriate antibiotics | ||
**Biliary drainage | **Biliary drainage | ||
*Cholangitis due to gallstones/cholelithiasis:<ref>{{cite book | last = Holzheimer | first = R | title = Surgical treatment : evidence-based and problem-oriented | publisher = Zuckschwerdt | location = München New York | year = 2001 | isbn = 978-3886037148 }}</ref><ref name="pmid11146767">{{cite journal| author=Poon RT, Liu CL, Lo CM, Lam CM, Yuen WK, Yeung C et al.| title=Management of gallstone cholangitis in the era of laparoscopic cholecystectomy. | journal=Arch Surg | year= 2001 | volume= 136 | issue= 1 | pages= 11-6 | pmid=11146767 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146767 }} </ref><ref name="pmid2053744">{{cite journal| author=Himal HS| title=The role of endoscopic papillotomy in ascending cholangitis. | journal=Am Surg | year= 1991 | volume= 57 | issue= 4 | pages= 241-4 | pmid=2053744 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2053744 }} </ref> | *Cholangitis due to [[Gallstone disease|gallstones]]/[[cholelithiasis]]:<ref>{{cite book | last = Holzheimer | first = R | title = Surgical treatment : evidence-based and problem-oriented | publisher = Zuckschwerdt | location = München New York | year = 2001 | isbn = 978-3886037148 }}</ref><ref name="pmid11146767">{{cite journal| author=Poon RT, Liu CL, Lo CM, Lam CM, Yuen WK, Yeung C et al.| title=Management of gallstone cholangitis in the era of laparoscopic cholecystectomy. | journal=Arch Surg | year= 2001 | volume= 136 | issue= 1 | pages= 11-6 | pmid=11146767 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146767 }} </ref><ref name="pmid2053744">{{cite journal| author=Himal HS| title=The role of endoscopic papillotomy in ascending cholangitis. | journal=Am Surg | year= 1991 | volume= 57 | issue= 4 | pages= 241-4 | pmid=2053744 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2053744 }} </ref> | ||
** | **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== | ==References== | ||
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Revision as of 17:25, 18 December 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
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Overview
Secondary prevention strategies for cholangitis includes continued treatment of predisposing causes in appropriate patients.
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.