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Acute Cholangitis (Algorithm)

  • Maximilian David SchneiderEmail author
Chapter
  • 45 Downloads

Abstract

Acute cholangitis (AC) can be suspected in a patient with clinical or laboratory signs of infection and abdominal pain, jaundice, or a former history of cholangitis, especially when a biliary stent is implanted.

Abbreviations

AC

Acute cholangitis

Amp/Sul

Ampicillin/sulbactam

CRP

C-reactive protein

CT

Computed-tomography

DDx

Differential diagnosis

Dori

Doripenem

ERCP

Endoscopic retrograde cholangiopancreatography

Erta

Ertapenem

EST

Endoscopic sphincterotomy

Gen.

Generation

ICU

Intensive care unit

Imi

Imipenem-cilastatin

Mero

Meropenem

MRCP

Magnetic resonance cholangiopancreatography

PCT

Procalcitonin

Pip/Taz

Piperacillin/tazobactam

T

Temperature

US

Ultrasound

Vanco

Vancomycin

WBC

White blood count

Bibliography

  1. EASL. Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol. 2016;65(1):146–81.CrossRefGoogle Scholar
  2. Gomi H, Solomkin JS, Schlossberg D, Okamoto K, Takada T, Strasberg SM, et al. Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25:3–16.CrossRefGoogle Scholar
  3. Karvellas CJ, Abraldes JG, Zepeda-Gomez S, Moffat DC, Mirzanejad Y, Vazquez-Grande G, et al. The impact of delayed biliary decompression and anti-microbial therapy in 260 patients with cholangitis-associated septic shock. Aliment Pharmacol Ther. 2016;44:755–66.CrossRefGoogle Scholar
  4. Kiriyama S, Kozaka K, Takada T, Strasberg SM, Pitt HA, Gabata T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25:17–30.CrossRefGoogle Scholar
  5. Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, et al. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018;25:31–40.CrossRefGoogle Scholar
  6. Mukai S, Itoi T, Baron TH, Takada T, Strasberg SM, Pitt HA, et al. Indications and techniques of biliary drainage for acute cholangitis in updated Tokyo Guidelines 2018. J Hepatobiliary Pancreat Sci. 2017;24:537–49.CrossRefGoogle Scholar
  7. Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:133–64.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Gastroenterology, Hepatology and EndocrinologyRobert-Bosch-HospitalStuttgartGermany

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