Management of acute cholecystitis and acute cholangitis in emergency setting

• Authors: Kui-Hin Liau , Catherine Teh , Alejandro Serrablo
• Languages of publication: EN

Abstracts

EN

Acute biliary infection (acute cholecystitis and acute cholangitis) is one of the common emergency conditions which carries significant morbidity and mortality. The risk factors are often associated with gallstones, biliary stasis and bile infection. Gram-negative bacteria are frequent isolates from bile and blood cultures in infectious cholangitis. Endotoxaemia from the gram-negative microbes results in circulatory shock and organ dysfunction. Therefore, prompt diagnosis with severity stratification and recognition of its potential rapid progression to life-threatening shock and multi-organ failure ensure execution of the three fundamental interventions in the initial management strategy, namely: resuscitation to support the organ, antimicrobial therapy and biliary decompression drainage to control the infection. This is the core principle in the management of severe acute cholangitis.

Keywords

EN

Acute cholangitis; Acute cholecystitis; Emergency; Management

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 3
• Pages: 357-369

Dates

published

1 - 6 - 2014

online

8 - 7 - 2014

Contributors

author

Kui-Hin Liau

• Nexus Surgical Associates, Mt Elizabeth Hospital & Mt Elizabeth Novena Specialist Centre, Singapore, Singapore

author

Catherine Teh

• St Luke Medical Centre, Manila, Philippines

author

Alejandro Serrablo

• Hospital Universitario Miguel Servet, Zaragoza, Spain

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Identifiers

DOI

10.2478/s11536-013-0301-3