Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Feb;7(2):121-3.

Management of acute cholangitis

Patrick Mosler  1
Affiliations

Management of acute cholangitis

Patrick Mosler. Gastroenterol Hepatol (N Y). 2011 Feb.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Primary sclerosing cholangitis (PSC). Retrograde cholangiography carries a significant risk of causing cholangitis in this setting, as the obstructed intrahepatic ducts cannot drain freely afterward. The first-line investigation of choice for PSC is now magnetic resonance cholangiopancreatography; endoscopic retrograde cholangiopancreatography should be reserved only for treatment of dominant extrahepatic bile duct strictures. (Image courtesy of John Baillie, MB ChB, FRCP, Wake Forest University Health Sciences Center, Winston-Salem, North Carolina.)
Figure 2
Figure 2
Fiberoptic endoscopic retrograde cholangiopancreatography view of pus exiting a plastic stent placed to decompress an obstructed bile duct. This is the preferred management when patients with acute cholangitis have severe coagulopathy, which is a contraindication to endoscopic sphincterotomy. (Image courtesy of John Baillie, MB ChB, FRCP, Wake Forest University Health Sciences Center, Winston-Salem, North Carolina.)
See this image and copyright information in PMC

Similar articles

  • Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis.
    Mayumi T, Okamoto K, Takada T, Strasberg SM, Solomkin JS, Schlossberg D, Pitt HA, Yoshida M, Gomi H, Miura F, Garden OJ, Kiriyama S, Yokoe M, Endo I, Asbun HJ, Iwashita Y, Hibi T, Umezawa A, Suzuki K, Itoi T, Hata J, Han HS, Hwang TL, Dervenis C, Asai K, Mori Y, Huang WS, Belli G, Mukai S, Jagannath P, Cherqui D, Kozaka K, Baron TH, de Santibañes E, Higuchi R, Wada K, Gouma DJ, Deziel DJ, Liau KH, Wakabayashi G, Padbury R, Jonas E, Supe AN, Singh H, Gabata T, Chan ACW, Lau WY, Fan ST, Chen MF, Ker CG, Yoon YS, Choi IS, Kim MH, Yoon DS, Kitano S, Inomata M, Hirata K, Inui K, Sumiyama Y, Yamamoto M. Mayumi T, et al. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):96-100. doi: 10.1002/jhbp.519. Epub 2017 Dec 16. J Hepatobiliary Pancreat Sci. 2018. PMID: 29090868 Review.
  • Current strategies for endoscopic management of acute cholangitis.
    Isayama H, Yasuda I, Tan D. Isayama H, et al. Dig Endosc. 2017 Apr;29 Suppl 2:70-77. doi: 10.1111/den.12805. Dig Endosc. 2017. PMID: 28425650
  • Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis.
    Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, Gomi H, Solomkin JS, Schlossberg D, Han HS, Kim MH, Hwang TL, Chen MF, Huang WS, Kiriyama S, Itoi T, Garden OJ, Liau KH, Horiguchi A, Liu KH, Su CH, Gouma DJ, Belli G, Dervenis C, Jagannath P, Chan ACW, Lau WY, Endo I, Suzuki K, Yoon YS, de Santibañes E, Giménez ME, Jonas E, Singh H, Honda G, Asai K, Mori Y, Wada K, Higuchi R, Watanabe M, Rikiyama T, Sata N, Kano N, Umezawa A, Mukai S, Tokumura H, Hata J, Kozaka K, Iwashita Y, Hibi T, Yokoe M, Kimura T, Kitano S, Inomata M, Hirata K, Sumiyama Y, Inui K, Yamamoto M. Miura F, et al. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):31-40. doi: 10.1002/jhbp.509. Epub 2018 Jan 8. J Hepatobiliary Pancreat Sci. 2018. PMID: 28941329 Review.
  • TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis.
    Takada T, Strasberg SM, Solomkin JS, Pitt HA, Gomi H, Yoshida M, Mayumi T, Miura F, Gouma DJ, Garden OJ, Büchler MW, Kiriyama S, Yokoe M, Kimura Y, Tsuyuguchi T, Itoi T, Gabata T, Higuchi R, Okamoto K, Hata J, Murata A, Kusachi S, Windsor JA, Supe AN, Lee S, Chen XP, Yamashita Y, Hirata K, Inui K, Sumiyama Y; Tokyo Guidelines Revision Committee. Takada T, et al. J Hepatobiliary Pancreat Sci. 2013 Jan;20(1):1-7. doi: 10.1007/s00534-012-0566-y. J Hepatobiliary Pancreat Sci. 2013. PMID: 23307006
  • Diagnosis and management of acute cholangitis.
    Lee JG. Lee JG. Nat Rev Gastroenterol Hepatol. 2009 Sep;6(9):533-41. doi: 10.1038/nrgastro.2009.126. Epub 2009 Aug 4. Nat Rev Gastroenterol Hepatol. 2009. PMID: 19652653 Review.
See all similar articles

Cited by

See all "Cited by" articles

References

    1. Mosler P. Diagnosis and management of acute cholangitis. Curr Gastroenterol Rep. 2011 Jan 5; [Epub ahead of print]. - PubMed
    1. Sharma BC, Kumar R, Agarwal N, Sarin SK. Endoscopic biliary drainage by nasobiliary drain or by stent placement in patients with acute cholangitis. Endoscopy. 2005;37:439–443. - PubMed
    1. Salek J, Livote E, Sideridis K, Bank S. Analysis of risk factors predictive of early mortality and urgent ERCP in acute cholangitis. J Clin Gastroenterol. 2009;43:171–175. - PubMed
    1. Tokyo guidelines for the management of acute cholangitis and cholecystitis. Proceedings of a consensus meeting, April 2006, Tokyo, Japan. J Hepatobiliary Pancreat Surg. 2007;14:1–121. - PubMed
    1. Lee JG. Diagnosis and management of acute cholangitis. Nat Rev Gastroenterol Hepatol. 2009;6:533–541. - PubMed

LinkOut - more resources