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Management of Postcholecystectomy Cholangitis

  • Joel VanderVelde
  • Ross F. GoldbergEmail author
Chapter

Abstract

Acute cholangitis following a cholecystectomy should be managed similar to acute cholangitis initially with intravenous fluid resuscitation and broad-spectrum antibiotics. Management should initially focus on identifying the location of the obstruction and relieving it through endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), or open surgical drainage if need be. Definitive management of the cause of obstruction should be undertaken following stabilization on an elective basis.

Keywords

Acute cholangitis Cholecystectomy PTC ERCP T-tube 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryMaricopa Integrated Health SystemPhoenixUSA
  2. 2.Creighton University School of MedicinePhoenixUSA
  3. 3.University of Arizona College of Medicine – PhoenixPhoenixUSA

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