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Acute cholangitis

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https://www.readbyqxmd.com/read/29026516/ascending-cholangitis-rare-presentation-of-a-ruptured-right-sided-renal-angiomyolipoma
#1
Stefanie M Croghan, Orla McCormack, Anna L Walsh, Ted McDermott
We report the case of a 46-year-old female who presented to the Emergency Department with acute, painful obstructive jaundice, with evidence of secondary ascending cholangitis. Surprisingly, imaging revealed the clinical picture to be caused not by hepatobiliary pathology, but by external compression of the biliary tree from a ruptured renal angiomyolipoma (AML) of the right kidney. The patient remained haemodynamically stable and conservative management saw resolution of biliary obstruction. We believe this to be the first report of a renal AML presenting in this way...
October 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28984386/pyogenic-liver-abscess-related-to-intrahepatic-bile-duct-stones-difficulties-in-infectious-control-and-diagnosis-of-concomitant-cholangiocarcinoma
#2
Shao-Hua Shi, Xiao-Ning Feng, Zhuo-Yi Wang, Ke Sun, Jing-Feng Xu, Hai-Shen Kong, Shu-Sen Zheng
BACKGROUND AND AIM: Cholangitis, bacteremia and pyogenic liver abscess (PLA) can be often caused by intrahepatic bile ducts stone (IBDS), which is endemic to Southeast Asia. The association between IBDS and cholangiocarcinoma has been well recognized. Concomitant cholangiocarcinoma in the PLA related to IBDS is often missed. METHODS: A case-control study consisting of 64 patients with PLA related to IBDS and 256 control patients with PLA not related to IBDS was used to investigate clinical features of PLA and incidence of concomitant cholangiocarcinoma in patients with PLA related to IBDS...
October 6, 2017: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28958907/long-term-results-of-temperature-controlled-endobiliary-radiofrequency-ablation-in-a-normal-swine-model
#3
Jae Hee Cho, Seok Jeong, Eui Joo Kim, Joon Mee Kim, Yeon Suk Kim, Don Haeng Lee
BACKGROUND AND AIMS: Endobiliary radiofrequency ablation (EB-RFA) is a new adjunctive method for biliary drainage restoration. However, a concern remains about long-term adverse events of this procedure, such as biliary stricture, perforation and hemorrhage. Therefore, we aimed to assess the long-term effects of in vivo EB-RFA in a swine model. METHODS: Six mini pigs were divided into 2 groups (10 W / 33-mm EB-RFA and 7 W / 18-mm EB-RFA). Endoscopic retrograde cholangiography (ERC)-guided temperature controlled EB-RFA (80 °C, 7-10 W, 120 sec) was performed...
September 25, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28954557/new-classification-system-for-indications-for-endoscopic-retrograde-cholangiopancreatography-predicts-diagnoses-and-adverse-events
#4
Nicholas Yuen, Pauline O'Shaughnessy, Andrew Thomson
BACKGROUND: Indications for endoscopic retrograde cholangiopancreatography (ERCP) have received little attention, especially in scientific or objective terms. AIM: To review the prevailing ERCP indications in the literature, and to propose and evaluate a new ERCP indication system, which relies on more objective pre-procedure parameters. METHODS: An analysis was conducted on 1758 consecutive ERCP procedures, in which contemporaneous use was made of an a-priori indication system...
September 28, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28941329/tokyo-guidelines-2018-initial-management-of-acute-biliary-infection-and-flowchart-for-acute-cholangitis
#5
Fumihiko Miura, Kohji Okamoto, Tadahiro Takada, Steven M Strasberg, Horacio J Asbun, Henry A Pitt, Harumi Gomi, Joseph S Solomkin, David Schlossberg, Ho-Seong Han, Myung-Hwan Kim, Tsann-Long Hwang, Miin-Fu Chen, Wayne Shih-Wei Huang, Seiki Kiriyama, Takao Itoi, O James Garden, Kui-Hin Liau, Akihiko Horiguchi, Keng-Hao Liu, Cheng-Hsi Su, Dirk Joan Gouma, Giulio Belli, Christos Dervenis, Palepu Jagannath, Angus C W Chan, Wan Yee Lau, Itaru Endo, Kenji Suzuki, Yoo-Seok Yoon, Eduardo de Santibañes, Mariano Eduardo Giménez, Eduard Jonas, Harjit Singh, Goro Honda, Koji Asai, Yasuhisa Mori, Keita Wada, Ryota Higuchi, Manabu Watanabe, Toshiki Rikiyama, Naohiro Sata, Nobuyasu Kano, Akiko Umezawa, Shuntaro Mukai, Hiromi Tokumura, Jiro Hata, Kazuto Kozaka, Yukio Iwashita, Taizo Hibi, Masamichi Yokoe, Taizo Kimura, Seigo Kitano, Masafumi Inomata, Koichi Hirata, Yoshinobu Sumiyama, Kazuo Inui, Masakazu Yamamoto
The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for the definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis...
September 23, 2017: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/28939398/the-emergency-medicine-focused-review-of-cholangitis
#6
Rachel Ely, Brit Long, Alex Koyfman
BACKGROUND: Cholangitis is a life-threatening infection of the biliary tract. Historically, the mortality secondary to cholangitis approached 100%. However, with early recognition, antibiotics, resuscitation, and surgical or endoscopic intervention, patient outcomes have significantly improved, although there is still progress to be made. OBJECTIVE OF REVIEW: The objective of this review is to provide an emergency medicine-centered approach to the risk factors, presentations, and various diagnostic and treatment modalities in cholangitis...
September 19, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28932607/percutaneous-endoscopic-management-for-oriental-cholangiohepatitis-a-case-report-and-a-brief-review-of-the-literature
#7
Khalil Aloreidi, Prince Sethi, Terry Yeager, Muslim Atiq
Oriental cholangiohepatitis (OCH) is a disease characterized by intrabiliary pigment stone formation, resulting in recurrent bouts of cholangitis. OCH is found mostly in Southeast Asia but it is occasionally recognized in Western societies. OCH etiology is largely unknown. We report our experience with a patient who presented with acute cholecystitis. Following laparoscopic cholecystectomy, she developed acute cholangitis due to multiple biliary tree stones. She underwent ERCP to clear the stones from common bile duct...
2017: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/28926118/chop-induced-loss-of-intestinal-epithelial-stemness-contributes-to-bile-duct-ligation-induced-cholestatic-liver-injury
#8
Runping Liu, Xiaojiaoyang Li, Zhiming Huang, Derrick Zhao, Bhagyalaxmi Sukka Ganesh, Guanhua Lai, William M Pandak, Phillip B Hylemon, Jasmohan S Bajaj, Arun J Sanyal, Huiping Zhou
Impaired intestinal barrier function promotes the progression of various liver diseases including cholestatic liver disease. The close association of primary sclerosing cholangitis (PSC) with inflammatory bowel disease highlights the importance of the gut-liver axis. It has been reported that bile duct ligation (BDL)-induced liver fibrosis is significantly reduced in C/EBP homologous protein knock out (CHOP(-/-) ) mice. However, the underlying mechanisms remain unclear. In the current study, we demonstrate that BDL induces striking and acute hepatic ER stress responses after 1 day, which return to normal after 3 days...
September 19, 2017: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/28919271/-autoimmune-hepatitis-immunological-diagnosis
#9
Imane Brahim, Ikram Brahim, Raja Hazime, Brahim Admou
Autoimmune hepatopathies (AIHT) including autoimmune hepatitis (AIH), primary biliary cirrhosis (PBC), primary sclerosing cholangitis (PSC) and autoimmune cholangitis (AIC), represent an impressive entities in clinical practice. Their pathogenesis is not perfectly elucidated. Several factors are involved in the initiation of hepatic autoimmune and inflammatory phenomena such as genetic predisposition, molecular mimicry and/or abnormalities of T-regulatory lymphocytes. AIHT have a wide spectrum of presentation, ranging from asymptomatic forms to severe acute liver failure...
September 14, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28917018/temporal-trends-in-utilization-and-outcomes-of-endoscopic-retrograde-cholangiopancreatography-in-acute-cholangitis-due-to-choledocholithiasis-from-1998-to-2012
#10
Malav P Parikh, Niyati M Gupta, Prashanthi N Thota, Rocio Lopez, Madhusudhan R Sanaka
BACKGROUND AND AIMS: Expeditious endoscopic retrograde cholangiopancreatography (ERCP) in acute cholangitis with biliary decompression is associated with better outcomes. In this study, we evaluated the temporal trends of ERCP utilization and healthcare outcomes among patients hospitalized with acute cholangitis due to choledocholithiasis (CDC) from 1998 to 2012. METHODS: We identified patients with a combined diagnosis of cholangitis and choledocholithiasis from the national inpatient sample database...
September 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28913118/the-course-and-outcomes-of-complicated-gallstone-disease-in-pregnancy-experience-of-a-tertiary-center
#11
Mehmet İlhan, Gülşah İlhan, Ali Fuat Kaan Gök, Kayıhan Günay, Cemalettin Ertekin
OBJECTIVE: To evaluate the course and outcomes of pregnant patients with complicated gallstone disease and to reveal the experience of a tertiary center. MATERIALS AND METHODS: The records of 92.567 patients were evaluated using searches for diagnoses with the terms of pregnant, pregnancy, gallstone, cholecystitis, cholangitis, choledocholithiasis, pancreatitis, and endoscopic retrograde cholangiopancreatography in pregnancy in the hospital database. Patients' age, week of gestation, parity, body mass index, definitive diagnosis, attack episodes, treatment modalities, and obstetric and neonatal complications were evaluated...
December 2016: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28856287/acute-on-chronic-hepatitis-a-case-report-of-autoimmune-hepatitis-primary-sclerosing-cholangitis-ulcerative-colitis-overlap-syndrome-in-a-15-year-old-patient
#12
Aneta Nalepa, Małgorzata Woźniak, Joanna Cielecka-Kuszyk, Marek Stefanowicz, Irena Jankowska, Maciej Dądalski, Joanna Pawłowska
Acute-on-chronic liver failure (ACLF) is a disease in which a rapid deterioration of liver function occurs in patients with chronic liver disease, and is usually associated with a precipitating event. We present the case of a boy with autoimmune hepatitis/primary sclerosing cholangitis/ulcerative colitis (AIH/PSC/UC) overlap syndrome, in whom liver function was stable for 4.5 years of treatment. At 15 years of age the patient was hospitalized due to a deterioration of his general condition, severe abdominal pain, diarrhoea, vomiting and weight loss...
March 2017: Clin Exp Hepatol
https://www.readbyqxmd.com/read/28842621/socs1-regulates-hepatic-regenerative-response-and-provides-prognostic-makers-for-acute-obstructive-cholangitis
#13
Jianhua Yu, Weiguang Zhang, Hongwei Qian, Haijun Tang, Weiguo Lin, Baochun Lu
Acute obstructive cholangitis (AOC) is a common and severe infectious diseases that occurs in an obstructed biliary system. The suppressors of cytokine signaling (SOCS) family include well-known negative regulators of cytokine receptor signaling. However, few studies have been conducted to determine their function in AOC. In this study, we showed that SOCS1 expression aberrantly changed and was associated with AOC prognosis in rat models. Decreased SOCS1 expression enhances regenerative response after biliary drainage (BD) resulting from AOC by upregulating hepatocyte growth factor (HGF) signaling...
August 25, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28842170/acute-suppurative-cholangitis-due-to-an-impacted-pancreatic-stone-a-rare-adverse-event-in-the-setting-of-chronic-calcified%C3%A2-pancreatitis
#14
Maxime Palazzo, Marianna Arvanitakis, Myriam Delhaye, Jacques Devière, Arnaud Lemmers
No abstract text is available yet for this article.
August 24, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28840045/hemoperitoneum-secondary-to-spontaneous-rupture-of-a-retroperitoneal-varix
#15
Derrick D Eichele
Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma...
2017: Case Reports in Hepatology
https://www.readbyqxmd.com/read/28834874/common-bile-duct-stones-associated-with-pancreatobiliary-reflux-and-disproportionate-bile-duct-dilatation
#16
Cheal Wung Huh, Hee Wook Kim, Seung Woo Yi, Dong Ki Lee, Se Joon Lee
Occult pancreatobiliary reflux (PBR) in patients with a normal pancreatobiliary junction has been studied by various methods, but the exact etiology, mechanisms, and implications of this reflux have not yet been clarified. The aim of this study was to investigate the degree of PBR and patterns of biliary ductal dilatation in patients with acute calculous cholangitis by endoscopic retrograde cholangiopancreatography (ERCP).We retrospectively evaluated the degree of PBR and pattern of bile duct dilatation in patients with acute calculous cholangitis due to distal CBD (common bile duct) stones (Group A) as compared with patients with malignant CBD obstruction due to distal CBD cancer (Group B)...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28834389/indications-and-techniques-of-biliary-drainage-for-acute-cholangitis-in-updated-tokyo-guidelines-2018
#17
LETTER
Shuntaro Mukai, Takao Itoi, Todd H Baron, Tadahiro Takada, Steven M Strasberg, Henry A Pitt, Tomohiko Ukai, Satoru Shikata, Anthony Yuen Bun Teoh, Myung-Hwan Kim, Seiki Kiriyama, Yasuhisa Mori, Fumihiko Miura, Miin-Fu Chen, Wan Yee Lau, Keita Wada, Avinash Nivritti Supe, Mariano Eduardo Giménez, Masahiro Yoshida, Toshihiko Mayumi, Koichi Hirata, Yoshinobu Sumiyama, Kazuo Inui, Masakazu Yamamoto
The Tokyo Guidelines 2013 (TG13) include new topics in the biliary drainage section. From these topics, we describe the indications and new techniques of biliary drainage for acute cholangitis with videos. Recently, many novel studies and case series have been published across the world, thus TG13 need to be updated regarding the indications and selection of biliary drainage based on published data. Herein, we describe the latest updated TG13 on biliary drainage in acute cholangitis with meta-analysis. The present study showed that endoscopic transpapillary biliary drainage regardless of the use of nasobiliary drainage or biliary stenting, should be selected as the first-line therapy for acute cholangitis...
August 19, 2017: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/28798923/feasibility-of-initial-endoscopic-common-bile-duct-stone-removal-in-patients-with-acute-cholangitis
#18
Akira Yamamiya, Katsuya Kitamura, Yu Ishii, Yuta Mitsui, Tomohiro Nomoto, Hitoshi Yoshida
AIM: To investigate the feasibility of initial endoscopic common bile duct (CBD) stone removal in patients with acute cholangitis (AC). METHODS: A single-center, retrospective study was conducted between April 2013 and December 2014 and was approved by the Medical Ethics Committee at our institution. Written informed consent was obtained from each patient prior to the procedure. The cohort comprised 31 AC patients with CBD stones who underwent endoscopic biliary drainage (EBD) for naïve papilla within 48 h after AC onset...
July 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28747290/acquired-leukocyte-inclusion-bodies-resembling-d%C3%A3-hle-bodies-during-acute-cholangitis
#19
Gökhan Özgür, Musa Barış Aykan, Murat Yıldırım, Selim Sayın, Ahmet Uygun, Cengiz Beyan
No abstract text is available yet for this article.
July 27, 2017: Turkish Journal of Haematology: Official Journal of Turkish Society of Haematology
https://www.readbyqxmd.com/read/28744740/acute-cholangitis-after-bilioenteric-anastomosis-for-bile-duct-injuries
#20
Edgar Ortiz-Brizuela, José Sifuentes-Osornio, Daniel Manzur-Sandoval, Santiago Mier Y Terán-Ellis, Sergio Ponce-de-León, Pedro Torres-González, Miguel Ángel Mercado
BACKGROUND/PURPOSE: The study aims to describe the clinical features, microbiology, and associated factors of acute cholangitis (AC) after bilioenteric anastomosis (BEA) for biliary duct injury (BDI). Additionally, we assessed the performance of the Tokyo Guidelines 2013 (TG13) recommendations in these patients. METHODS: We conducted a case-control study of 524 adults with a history of BEA for BDI from January 2000 to January 2014. A propensity score adjustment was performed for the analysis of the independent role of the main factors identified during the univariate logistic regression procedure...
July 25, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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