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About 663 results

ALLMedicine™ Acute Cholangitis Center

Research & Reviews  233 results

Early is Not Superior to Late Endoscopic Intervention for Acute Cholangitis.
https://doi.org/10.1177/15533506231162995
Surgical Innovation; Lyu Y, Ye S et. al.

Mar 11th, 2023 - Acute cholangitis (AC) is a common emergency with a significant mortality risk. This study aimed to compare urgent, early, and late endoscopic retrograde cholangiopancreatography (ERCP) for AC. We retrospectively evaluated patients diagnosed with ...

Short-course Antibiotics vs Standard Course Antibiotics in Patients With Cholangitis
https://clinicaltrials.gov/ct2/show/NCT05750966

Mar 2nd, 2023 - Acute cholangitis is an infection of the biliary tract which is managed with biliary drainage and antibiotic therapy (ABT). Currently the international Tokyo Guidelines 2018 (TG18) recommend 4 to 7 days of ABT after source control. The national SW...

Clinical Trial Comparing ERCP vs ERCP and Transmural Gall Bladder Drainage
https://clinicaltrials.gov/ct2/show/NCT03921502

Mar 1st, 2023 - Introduction Cholelithiasis occurs in 10-20% of the general population (1). Up to 18% of these subjects will present symptoms and, of these, 1.5% will present an episode of pancreatitis, cholecystitis or acute cholangitis (2). In this way, the pat...

Timing of biliary decompression for acute cholangitis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932428
World Journal of Gastroenterology; Yang J, Liu Y et. al.

Feb 24th, 2023 - Severe acute cholangitis (AC) exacerbates the risk of death because of the rapid progression of the disease. The optimal timing of biliary decompression (BD) as a necessary intervention in patients with severe AC is controversial. A recently repor...

Trends in gastrointestinal disease hospitalizations and outcomes during the first year ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9896617
World Journal of Gastroenterology; Adekunle AD, Rubens M et. al.

Feb 7th, 2023 - The impact of the coronavirus on hospitalizations for gastrointestinal (GI) disease, particularly at a population level is understudied. To investigate trends in hospitalizations, inpatient endoscopy resource utilization, and outcomes during the f...

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Guidelines  7 results

ACR Appropriateness Criteria® Radiologic Management of Biliary Obstruction.
https://doi.org/10.1016/j.jacr.2019.02.020
Journal of the American College of Radiology : JACR; , Fairchild AH et. al.

May 6th, 2019 - Biliary obstruction is a serious condition that can occur in the setting of both benign and malignant pathologies. In the setting of acute cholangitis, biliary decompression can be lifesaving; for patients with cancer who are receiving chemotherap...

Endoscopic management of common bile duct stones: European Society of Gastrointestinal ...
https://doi.org/10.1055/a-0862-0346
Endoscopy Manes G, Paspatis G et. al.

Apr 4th, 2019 - ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention.Strong recommendation, low quality evidence.ESGE recommends liver function tests and abdomi...

TG13 antimicrobial therapy for acute cholangitis and cholecystitis.
https://doi.org/10.1007/s00534-012-0572-0
Journal of Hepato-biliary-pancreatic Sciences; Gomi H, Solomkin JS et. al.

Jan 24th, 2013 - Therapy with appropriate antimicrobial agents is an important component in the management of patients with acute cholangitis and/or acute cholecystitis. In the updated Tokyo Guidelines (TG13), we recommend antimicrobial agents that are suitable fr...

TG13 flowchart for the management of acute cholangitis and cholecystitis.
https://doi.org/10.1007/s00534-012-0563-1
Journal of Hepato-biliary-pancreatic Sciences; Miura F, Takada T et. al.

Jan 12th, 2013 - We propose a management strategy for acute cholangitis and cholecystitis according to the severity assessment. For Grade I (mild) acute cholangitis, initial medical treatment including the use of antimicrobial agents may be sufficient for most cas...

TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis.
https://doi.org/10.1007/s00534-012-0566-y
Journal of Hepato-biliary-pancreatic Sciences; Takada T, Strasberg SM et. al.

Jan 12th, 2013 - In 2007, the Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were first published in the Journal of Hepato-Biliary-Pancreatic Surgery. The fundamental policy of TG07 was to achieve the objectives of TG07 through t...

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Clinicaltrials.gov  21 results

Short-course Antibiotics vs Standard Course Antibiotics in Patients With Cholangitis
https://clinicaltrials.gov/ct2/show/NCT05750966

Mar 2nd, 2023 - Acute cholangitis is an infection of the biliary tract which is managed with biliary drainage and antibiotic therapy (ABT). Currently the international Tokyo Guidelines 2018 (TG18) recommend 4 to 7 days of ABT after source control. The national SW...

Clinical Trial Comparing ERCP vs ERCP and Transmural Gall Bladder Drainage
https://clinicaltrials.gov/ct2/show/NCT03921502

Mar 1st, 2023 - Introduction Cholelithiasis occurs in 10-20% of the general population (1). Up to 18% of these subjects will present symptoms and, of these, 1.5% will present an episode of pancreatitis, cholecystitis or acute cholangitis (2). In this way, the pat...

RCT on Robotic vs. Endo-laparoscopic Approach for Difficult Choledocholithiasis
https://clinicaltrials.gov/ct2/show/NCT05611840

Feb 2nd, 2023 - Background (i) Background information Gallstone disease is a very common disease identity in developed countries, causing a major health burden. There is an estimate of 20 - 25 million adults diagnosed to have gallstone disease annually, resulting...

Comparison Between Transpapillary and Suprapapillary Metal Stent
https://clinicaltrials.gov/ct2/show/NCT04503291

Jul 22nd, 2022 - If surgical treatment is not possible in patients with malignant obstruction in the common bile duct, endoscopic metal stent placement to resolve biliary obstruction is a standard treatment that is commonly performed. The metal stents relieve the ...

SAGES Safe Cholecystectomy Program in Polish Reality - Awareness, Implementation and Opinion on Usefulness
https://clinicaltrials.gov/ct2/show/NCT03155321

Apr 7th, 2022 - The study is based on an anonymous questionnaire that is distributed among polish surgeons across the country. The questionnaire focuses on the demographic data of the surgeon, their experience in years, a few questions regarding their experience ...

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News  4 results

Index Cholecystectomy Cuts Readmissions After Acute Cholangitis
https://www.medscape.com/viewarticle/974779

May 27th, 2022 - Patients with acute cholangitis are twice as likely to be readmitted within 30 days if they don't get a cholecystectomy in the same hospital admission for which they get biliary decompression, researchers say. The readmissions result mostly from s...

Interval cholecystectomy may be a risky business
https://www.mdedge.com/gihepnews/article/129915/general-surgery/interval-cholecystectomy-may-be-risky-business
Michele G. Sullivan, MDedge News

Jan 24th, 2017 - HOLLYWOOD, FLA – Interval cholecystectomy remains a challenging procedure, with longer operative times and ICU stays, greater blood loss, more biliary and bowel injuries, and even hints of increased mortality, compared with immediate cholecystecto.

Caroli Disease: When Your Ducts Aren't in a Row
https://www.medscape.com/viewarticle/762763_4

May 2nd, 2012 - Treatment of Caroli Disease Medical therapy is geared toward reducing the incidence of intrahepatic stones. Oral ursodeoxycholic acid has been shown to have some efficacy in reducing cholesterol stone formation and bile stagnation by increasing bi...

A 43-Year-Old Woman With a 7-Month History of Intermittent Abdominal Pain and Weight Loss
https://www.medscape.com/viewarticle/405156_3

Nov 9th, 2001 - Discussion RPC, often referred to as Oriental cholangiohepatitis, is a progressive, destructive cholangiopathy of unknown cause. Although parasites are generally cultured from the bile and blood of patients with RPC during episodes of acute cholan...

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