Management of Postcholecystectomy Cholangitis
Acute cholangitis following a cholecystectomy should be managed similar to acute cholangitis initially with intravenous fluid resuscitation and broad-spectrum antibiotics. Management should initially focus on identifying the location of the obstruction and relieving it through endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), or open surgical drainage if need be. Definitive management of the cause of obstruction should be undertaken following stabilization on an elective basis.
KeywordsAcute cholangitis Cholecystectomy PTC ERCP T-tube
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