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Article: Causes and clinical manifestations of severe acute cholangitis

TitleCauses and clinical manifestations of severe acute cholangitis
Authors
KeywordsCauses
Cholangitis
Clinical manifestations
Issue Date1996
PublisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htm
Citation
Journal Of Hepato-Biliary-Pancreatic Surgery, 1996, v. 3 n. 1, p. 9-11 How to Cite?
AbstractAcute obstructive suppurative cholangitis is a pathologic condition that does not exhibit a distinct clinical presentation and severity. The mere presence of suppuration in an obstructed biliary tree may not be associated with overwhelming sepsis. Urgent therapeutic intervention is mandatory only in those patients with clinically severe and progressive disease, for which the term "severe acute cholangitis" seems more appropriate. Acute cholangitis develops when an obstructed biliary tree becomes colonized by bacteria. Bacterial colonization is more frequent with choledocholithiasis than with malignant strictures, with choledocholithiasis being the most common cause of acute cholangitis. However, the increased use of non-operative manipulation of the biliary tree results in more patients with acute cholangitis secondary to malignant obstruction, since the risk of acute cholangitis after direct cholangiogram is higher with malignant obstruction. Not only is there a higher risk of acute cholangitis but the systemic sepsis tends to be more severe with malignant obstruction because of the problem of incomplete drainage. When cholangitis develops in the presence of a stent, few of these patients have local symptoms such as abdominal pain or jaundice. © Springer-Verlag 1996.
Persistent Identifierhttp://hdl.handle.net/10722/84080
ISSN
2009 Impact Factor: 1.601
References

 

DC FieldValueLanguage
dc.contributor.authorLo, CMen_HK
dc.contributor.authorLai, ECSen_HK
dc.date.accessioned2010-09-06T08:48:41Z-
dc.date.available2010-09-06T08:48:41Z-
dc.date.issued1996en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 1996, v. 3 n. 1, p. 9-11en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84080-
dc.description.abstractAcute obstructive suppurative cholangitis is a pathologic condition that does not exhibit a distinct clinical presentation and severity. The mere presence of suppuration in an obstructed biliary tree may not be associated with overwhelming sepsis. Urgent therapeutic intervention is mandatory only in those patients with clinically severe and progressive disease, for which the term "severe acute cholangitis" seems more appropriate. Acute cholangitis develops when an obstructed biliary tree becomes colonized by bacteria. Bacterial colonization is more frequent with choledocholithiasis than with malignant strictures, with choledocholithiasis being the most common cause of acute cholangitis. However, the increased use of non-operative manipulation of the biliary tree results in more patients with acute cholangitis secondary to malignant obstruction, since the risk of acute cholangitis after direct cholangiogram is higher with malignant obstruction. Not only is there a higher risk of acute cholangitis but the systemic sepsis tends to be more severe with malignant obstruction because of the problem of incomplete drainage. When cholangitis develops in the presence of a stent, few of these patients have local symptoms such as abdominal pain or jaundice. © Springer-Verlag 1996.en_HK
dc.languageengen_HK
dc.publisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htmen_HK
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Surgeryen_HK
dc.subjectCausesen_HK
dc.subjectCholangitisen_HK
dc.subjectClinical manifestationsen_HK
dc.titleCauses and clinical manifestations of severe acute cholangitisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0944-1166&volume=3&spage=9&epage=11&date=1996&atitle=Causes+and+clinical+manifestation+of+severe+acute+cholangitisen_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-26444599863en_HK
dc.identifier.hkuros24220en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-26444599863&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume3en_HK
dc.identifier.issue1en_HK
dc.identifier.spage9en_HK
dc.identifier.epage11en_HK
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridLai, ECS=55187466100en_HK

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