Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Classification and Management of Acute Cholangitis

Riham A Affan, Ahmed W Noureldin, Marcelo AF Ribeiro Jr

Keywords : Acute cholangitis, Ascending cholangitis, Biliary drainage

Citation Information : Affan RA, Noureldin AW, Ribeiro Jr MA. Classification and Management of Acute Cholangitis. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):163-168.

DOI: 10.5005/jp-journals-10030-1401

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Acute cholangitis (AC) is an urgent medical condition characterized by inflammation of the biliary system due to ascending bacterial infection that carries a high mortality rate. Obstruction precedes infection and is caused by both nonmalignant and malignant etiologies, but most are attributed to biliary stone obstruction or choledocholithiasis. AC is a clinical diagnosis based on patient presentation, laboratory values, and imaging criteria and is further stratified by severity. Treatment involves fluid resuscitation, antibiotics, and biliary drainage following the severity of the presentation. This review article describes the latest updates in the diagnosis, classification, and management of AC, as well as the outcomes of different treatment modalities.

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