Table of contents
Acute cholangitis
What's new
Added 2021 ASGE, 2018 TG and 2016 EASL guidelines for the diagnosis and management of acute cholangitis.
Background
Overview
Guidelines
Key sources
Diagnostic investigations
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Laboratory tests
Abdominal ultrasound
ERCP
MRCP
EUS
Medical management
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Spasmolytics and opioids
NSAIDs
Therapeutic procedures
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Endoscopic sphincterotomy
Percutaneous or endoscopic biliary drainage
Litholysis and lithotripsy
Perioperative care
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Intraoperative cholangiography
Postoperative evaluation
Surgical interventions
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Indications for cholecystectomy (concomitant abdominal surgery)
Indications for cholecystectomy (acute biliary pancreatitis)
Indications for cholecystectomy (bile duct stones)
Choice of surgical approach
Timing for cholecystectomy
Intraoperative management of bile duct stones
Intraoperative management of bile duct injuries
Specific circumstances
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Elderly patients
Pregnant patients
Preventative measures
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UDCA
Prophylactic cholecystectomy
Measures with no evidence for benefit