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Ascending cholangitis

MedGen UID:
81387
•Concept ID:
C0311273
•
Disease or Syndrome
Synonyms: Ascending Cholangitis; ascending cholangitis
SNOMED CT: Ascending cholangitis (26918003)
 
Monarch Initiative: MONDO:0001929

Definition

Acute infection of the bile ducts caused by bacteria ascending from the small intestine. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAscending cholangitis

Professional guidelines

PubMed

ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update.
Expert Panel on Gastrointestinal Imaging, Russo GK, Zaheer A, Kamel IR, Porter KK, Archer-Arroyo K, Bashir MR, Cash BD, Fung A, McCrary M, McGuire BM, Shih RD, Stowers J, Thakrar KH, Vij A, Wahab SA, Zukotynski K, Carucci LR
J Am Coll Radiol 2023 May;20(5S):S211-S223. doi: 10.1016/j.jacr.2023.02.011. PMID: 37236744
Acute Cholangitis: Causes, Diagnosis, and Management.
An Z, Braseth AL, Sahar N
Gastroenterol Clin North Am 2021 Jun;50(2):403-414. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.005. PMID: 34024448
Surgical and nonsurgical management of gallstones.
Abraham S, Rivero HG, Erlikh IV, Griffith LF, Kondamudi VK
Am Fam Physician 2014 May 15;89(10):795-802. PMID: 24866215

Recent clinical studies

Etiology

Prophylactic Antibiotics to Prevent Cholangitis in Children with Biliary Atresia After Kasai Portoenterostomy: A Meta-Analysis.
Alatas FS, Lazarus G, Junaidi MC, Oswari H
J Pediatr Gastroenterol Nutr 2023 Nov 1;77(5):648-654. Epub 2023 Sep 14 doi: 10.1097/MPG.0000000000003935. PMID: 37705401
Gallbladder Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia.
Wilkins T, Agabin E, Varghese J, Talukder A
Prim Care 2017 Dec;44(4):575-597. Epub 2017 Oct 5 doi: 10.1016/j.pop.2017.07.002. PMID: 29132521
Acute cholangitis: current concepts.
Lan Cheong Wah D, Christophi C, Muralidharan V
ANZ J Surg 2017 Jul;87(7-8):554-559. Epub 2017 Mar 24 doi: 10.1111/ans.13981. PMID: 28337833
Surgical and nonsurgical management of gallstones.
Abraham S, Rivero HG, Erlikh IV, Griffith LF, Kondamudi VK
Am Fam Physician 2014 May 15;89(10):795-802. PMID: 24866215
Peptococcaceae bacteremia.
Topiel MS, Simon GL
Diagn Microbiol Infect Dis 1986 Feb;4(2):109-17. doi: 10.1016/0732-8893(86)90144-6. PMID: 3956135

Diagnosis

Gastrointestinal Emergencies in the ICU.
Rao S, Baltaji S, Crow K, DiSilvio B, Cheema T
Crit Care Nurs Q 2023 Jan-Mar 01;46(1):35-47. doi: 10.1097/CNQ.0000000000000436. PMID: 36415066
Acute Cholangitis: Causes, Diagnosis, and Management.
An Z, Braseth AL, Sahar N
Gastroenterol Clin North Am 2021 Jun;50(2):403-414. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.005. PMID: 34024448
Gallbladder Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia.
Wilkins T, Agabin E, Varghese J, Talukder A
Prim Care 2017 Dec;44(4):575-597. Epub 2017 Oct 5 doi: 10.1016/j.pop.2017.07.002. PMID: 29132521
Acute cholangitis: current concepts.
Lan Cheong Wah D, Christophi C, Muralidharan V
ANZ J Surg 2017 Jul;87(7-8):554-559. Epub 2017 Mar 24 doi: 10.1111/ans.13981. PMID: 28337833
Surgical and nonsurgical management of gallstones.
Abraham S, Rivero HG, Erlikh IV, Griffith LF, Kondamudi VK
Am Fam Physician 2014 May 15;89(10):795-802. PMID: 24866215

Therapy

Prophylactic Antibiotics to Prevent Cholangitis in Children with Biliary Atresia After Kasai Portoenterostomy: A Meta-Analysis.
Alatas FS, Lazarus G, Junaidi MC, Oswari H
J Pediatr Gastroenterol Nutr 2023 Nov 1;77(5):648-654. Epub 2023 Sep 14 doi: 10.1097/MPG.0000000000003935. PMID: 37705401
Antireflux metal stent for biliary obstruction: Any benefits?
Hamada T, Nakai Y, Isayama H, Koike K
Dig Endosc 2021 Mar;33(3):310-320. Epub 2020 Jun 16 doi: 10.1111/den.13679. PMID: 32250476
Management of ascending cholangitis.
Kinney TP
Gastrointest Endosc Clin N Am 2007 Apr;17(2):289-306, vi. doi: 10.1016/j.giec.2007.03.006. PMID: 17556149
Radiologic manifestations of sclerosing cholangitis with emphasis on MR cholangiopancreatography.
Vitellas KM, Keogan MT, Freed KS, Enns RA, Spritzer CE, Baillie JM, Nelson RC
Radiographics 2000 Jul-Aug;20(4):959-75; quiz 1108-9, 1112. doi: 10.1148/radiographics.20.4.g00jl04959. PMID: 10903686
Antimicrobial prophylaxis during biliary endoscopic procedures.
Alveyn CG
J Antimicrob Chemother 1993 Feb;31 Suppl B:101-5. doi: 10.1093/jac/31.suppl_b.101. PMID: 8449839

Prognosis

Predictors of biliary atresia outcome: Saudi National Study (2000 - 2018).
Abanemai M, AlEdreesi M, Al Sarkhy A, Saadah OI, Alhebbi H, Bader R, Alhatlani M, Halabi H, Aladsani A, Wali S, Alguofi T, Alsayed F, NasserAllah A, Almehmadi A, Qurban A, Bashir MS, Alamri A, Al-Hussaini A
Saudi J Gastroenterol 2023 Sep-Oct;29(5):286-294. Epub 2023 Mar 20 doi: 10.4103/sjg.sjg_512_22. PMID: 37787348Free PMC Article
Development of a risk score for choledocholithiasis in pediatric patients.
Capparelli MA, D Alessandro PD, Questa HA, Ayarzabal VH, Bailez MM, Barrenechea ME
Pediatr Surg Int 2021 Oct;37(10):1393-1399. Epub 2021 Jun 19 doi: 10.1007/s00383-021-04952-9. PMID: 34146133
Acute cholangitis: current concepts.
Lan Cheong Wah D, Christophi C, Muralidharan V
ANZ J Surg 2017 Jul;87(7-8):554-559. Epub 2017 Mar 24 doi: 10.1111/ans.13981. PMID: 28337833
Magnetic resonance cholangiography: Current and future perspectives.
Arrivé L, Hodoul M, Arbache A, Slavikova-Boucher L, Menu Y, El Mouhadi S
Clin Res Hepatol Gastroenterol 2015 Dec;39(6):659-64. Epub 2015 Aug 11 doi: 10.1016/j.clinre.2015.07.005. PMID: 26275724
Acute (ascending) cholangitis.
Hanau LH, Steigbigel NH
Infect Dis Clin North Am 2000 Sep;14(3):521-46. doi: 10.1016/s0891-5520(05)70119-7. PMID: 10987108

Clinical prediction guides

Predictors of biliary atresia outcome: Saudi National Study (2000 - 2018).
Abanemai M, AlEdreesi M, Al Sarkhy A, Saadah OI, Alhebbi H, Bader R, Alhatlani M, Halabi H, Aladsani A, Wali S, Alguofi T, Alsayed F, NasserAllah A, Almehmadi A, Qurban A, Bashir MS, Alamri A, Al-Hussaini A
Saudi J Gastroenterol 2023 Sep-Oct;29(5):286-294. Epub 2023 Mar 20 doi: 10.4103/sjg.sjg_512_22. PMID: 37787348Free PMC Article
Development of a risk score for choledocholithiasis in pediatric patients.
Capparelli MA, D Alessandro PD, Questa HA, Ayarzabal VH, Bailez MM, Barrenechea ME
Pediatr Surg Int 2021 Oct;37(10):1393-1399. Epub 2021 Jun 19 doi: 10.1007/s00383-021-04952-9. PMID: 34146133
Magnetic resonance cholangiography: Current and future perspectives.
Arrivé L, Hodoul M, Arbache A, Slavikova-Boucher L, Menu Y, El Mouhadi S
Clin Res Hepatol Gastroenterol 2015 Dec;39(6):659-64. Epub 2015 Aug 11 doi: 10.1016/j.clinre.2015.07.005. PMID: 26275724
PSC, AIH and overlap syndrome in inflammatory bowel disease.
Trivedi PJ, Chapman RW
Clin Res Hepatol Gastroenterol 2012 Oct;36(5):420-36. Epub 2012 Feb 3 doi: 10.1016/j.clinre.2011.10.007. PMID: 22306055
Primary sclerosing cholangitis: diagnostic and therapeutic problems.
Gotthardt D, Chahoud F, Sauer P
Dig Dis 2011;29 Suppl 1:41-5. Epub 2011 Nov 15 doi: 10.1159/000331074. PMID: 22104752

Recent systematic reviews

The role of imaging in determining prognosis for primary sclerosing cholangitis: A systematic review.
Segal D, Marotta P, Mosli M, Zou G, Feagan BG, Al-Judaibi B
Saudi J Gastroenterol 2019 May-Jun;25(3):152-158. doi: 10.4103/sjg.SJG_478_18. PMID: 31044745Free PMC Article

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