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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew


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Volume 9, Issue 3

Issues

Volume 10 (2015)

Management of acute cholecystitis and acute cholangitis in emergency setting

Kui-Hin Liau / Catherine Teh / Alejandro Serrablo
Published Online: 2014-07-08 | DOI: https://doi.org/10.2478/s11536-013-0301-3

Abstract

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: Acute cholangitis; Acute cholecystitis; Emergency; Management

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About the article

Published Online: 2014-07-08

Published in Print: 2014-06-01


Citation Information: Open Medicine, Volume 9, Issue 3, Pages 357–369, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-013-0301-3.

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