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- Title
Diagnosis and Therapeutic Management in Postcholecistectomy Alithiasic Cholangitis. A retrospective study.
- Authors
UNGUR, Mariana; BABES, Aurel Petru
- Abstract
Introduction: The objective of the current retrospective study is to present the results of a personal research on the prevalence and treatment of alithiasic cholangitis in hospitalized patients. Material and methods: The research was based on the following criteria: case selection according to gender, age and diagnosis, anamnesis information, clinical, paraclinical, imagery and laboratory investigation methods, therapeutic approach. Results: Between 2016-2018, 109 cases had a discharge diagnosis of postcholecystectomy cholangitis following clinical and paraclinical examinations. In a large percentage, cholangitis was alithiasic, imagery assessments showing only a dilation of the intra- and/or extra-hepatic biliary ducts (81 cases, 91,01%). Conclusions: Alithiasic cholangitis is the main biliary cause in the postcholecystectomy pathology on the reference study (91,01%). In the hospitalized cases with alithiasic cholangitis as main diagnosis, endoscopic retrograde cholangiopancreatography (ERCP) has been proved to be a modern therapeutic approach; this allows the improvement of sphincter Oddi functional disorders through sphincterotomy/sphincteroplasty (6,75%).
- Subjects
CHOLANGITIS; BILE ducts; ENDOSCOPIC retrograde cholangiopancreatography; RETROSPECTIVE studies; DIAGNOSIS
- Publication
Maedica - a Journal of Clinical Medicine, 2019, Vol 14, Issue 3, p247
- ISSN
1841-9038
- Publication type
Article
- DOI
10.26574/maedica.2019.14.3.247