Skip to main content

Cholangitis und intrahepatische Cholelithiasis

  • Chapter
Praxis der Viszeralchirurgie

Zusammenfassung

Bei der akuten Cholangitis handelt es sich um eine meist bakterielle Entzündung der Gallengänge, die der Antibiotikatherapie sowie der Dekompression der Gallenwege bedarf. Die Papillenstenose ist eine benigne, organische, nichtneoplastische Verengung der Papille. Sie wird heute zusammen mit der Papillendyskinesie zum Begriff der Papillendysfunktion zusammengefasst. Unter intrahepatischer Cholangiolithiasis (intrahepatische Lithiasis, Hepatolithiasis) versteht man das Vorhandensein von Gallensteinen in den Gallengängen oberhalb der Gabelung vom linken und rechten Ductus hepaticus (auch wenn diese Gabelung extrahepatisch liegt).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Adamek HE, Schneider AR, Adamek MU, Jakobs R, Buttmann A, Benz C, Rieman JF (1999) Treatment of difficult intrahepatic stones by using extracorporeal and intracorporeal lithotrypsy techniques: 10 years’ experience in 55 patients. Scand J Gastroenterol 34:1157–1161

    Article  PubMed  CAS  Google Scholar 

  • Boender J, Nix GA, de Ridder MA, Dees J, Schutte HE, van Buuren HR, van Blankenstein M (1995) Endoscopic sphincterotomy and biliary drainage in patients with cholangitis due to common bile duct stones. Am J Gastroenterol 90:233–238

    PubMed  CAS  Google Scholar 

  • Bornmann PC, van Beljon JI, Krige JE (2003) Management of cholangitis. J Hepatobiliary Pancreat Surg 10:406–414

    Article  Google Scholar 

  • Carpenter HA (1998) Bacterial and parasitic cholangitis. Mayo Clin Proc 73:473–478

    Article  PubMed  CAS  Google Scholar 

  • Chen DW, Tung-Ping Poon R, Liu CL, Fan ST, Wong J (2004) Immediate and long-term outcomes of hepatectomy for hepatolithiasis. Surgery 135:386–393

    Article  PubMed  Google Scholar 

  • Hanau LH, Steigbigel NH (2000) Acute (ascending) cholangitis. Infect Dis Clin North Am 14:521–546

    Article  PubMed  CAS  Google Scholar 

  • Hogan WJ, Geenen JE (1988) Biliary dyskinesia. Endoscopy 20:179–183

    Article  PubMed  Google Scholar 

  • Huang MH, Chen CH, Yang JC, Yang CC, Yeh YH, Chou DA, Mo LR, Yueh SK, Nien CK (2003) Long-term outcome of percutaneous transhepatic cholangioscopic lithotomy for hepatolithiasis. Am J Gastroenterol 98:2655–2662

    Article  PubMed  Google Scholar 

  • Hwang JH, Yoon YB, Kim YT, Cheon JH, Jeong JB (2004) Risk factors for recurrent cholangitis after initial hepatolithiasis treatment. J Clin Gastroenterol 38:364–367

    Article  PubMed  Google Scholar 

  • Kiesslich R, Will D, Hahn M, Nafe B, Genitsariotis R, Maurer M, Jung M (2003) Ceftriaxone versus Levofloxacin for antibiotic therapy in patients with acute cholangitis. Z Gastroenterol 41:5–10

    Article  PubMed  CAS  Google Scholar 

  • Kim TK, Kim BS, Kim JH, Ha HK, Kim PN, Kim AY, Lee MG (2002) Diagnosis of intrahepatic stones: superiority of MR cholangiopancreatography over endoscopic retrograde cholangiopancreatography. Am J Roentgenol 179:429–434

    Google Scholar 

  • Kim YT, Byun JS, Kim J, Jang YH, Lee WJ, Ryu JK, Kim SW, Yoon YB, Kim CY (2003) Factors predicting concurrent cholangiocarcinomas associated with hepatolithiasis. Hepatogastroenterology 50:8–12

    PubMed  Google Scholar 

  • Kokuryo T, Yamamoto T, Oda K, Kamiya J, Nimura Y, Senga T, Yasuda Y, Ohno Y, Nakanuma Y, Chen MF, Jan YY, Yeh TS, Chiu CT, Hsieh LL, Hamaguchi M (2003) Profiling of gene expression associated with hepatolithiasis by complementary DNA expression array. Int J Oncol 22:175–179

    PubMed  CAS  Google Scholar 

  • Kusano T, Isa TT, Muto Y, Otsubo M, Yasaka T, Furukawa M (2001) Long-term results of hepaticojejunostomy for hepatolithiasis. Arch Surg 67:442–446

    CAS  Google Scholar 

  • Lai ECS, Tam P-C, Paterson IA, No NMT, Fan S-T, Choi T-K, Wong J (1990) Emergency surgery for severe acute cholangitis. Ann Surg 55:9

    Google Scholar 

  • Lee DW, Chan AC, Lam YH, Ng EK, Lau JY, Law BK, Lai CW, Sung JJ, Chung SC (2002) Biliary decompression by nasobiliary catheter or biliary stent in acute suppurative cholangitis: a prospective randomised trial. Gastrointest Endosc 56:361–365

    Article  PubMed  Google Scholar 

  • Lipsett PA, Pitt HA (2003) Acute cholangitis. Front Biosci 8:1229–1239

    Google Scholar 

  • Lo CM, Fan ST, Wong J (1997) The changing epidemiology of recurrent pyogenic cholangitis. Hong Kong Med J 3:302–304

    PubMed  Google Scholar 

  • Neuhaus H (1999) Intrahepatic stones: the percutaneous approach. Can J Gastroenterol 13:467–472

    PubMed  CAS  Google Scholar 

  • Pausawasdi A, Watanapa P (1997) Hepatolithiasis: epidemiology and classification. Hepatogastroenterology 44:314–316

    PubMed  CAS  Google Scholar 

  • Piccinni G, Angrisano A, Testini M, Bonomo GM (2004) Diagnosing and treating sphincter Oddi dysfunction. J Clin Gastroenterol 38:350–359

    Article  PubMed  Google Scholar 

  • Strong RW, Chew SP, Wall DR, Fawcett J, Lynch SV (2002) liver transplantation for hepatolithiasis. Asian J Surg 25:180–183

    Article  PubMed  Google Scholar 

  • Sugiyama M, Atomi Y (1997) Treatment of acute cholangitis due to choledocholithiasis in elderly and younger patients. Arch Surg 132:1129–1133

    PubMed  CAS  Google Scholar 

  • Sugiyama M, Atomi Y, Takahara T, Hachiya J (2001) Magnetic resonance cholangiopancreatography for diagnosing hepatolithiasis. Hepatogastroenterology 48:1097–1101

    PubMed  CAS  Google Scholar 

  • Sun WB, Han BL, Cai JX (2000) The surgical treatment of isolated left-sided hepatolithiasis: a 22-year experience. Surgery 127. 493–497

    Article  PubMed  CAS  Google Scholar 

  • Tocchi A, Mazzoni G, Lotta G, Lepre L, Cassini D, Piccini M (2001) Late development of bile duct cancer in patients who had biliary-enteric drainage for benigne disease: a follow-up study of more than 1000 patients. Ann Surg 234:210–214

    Article  PubMed  CAS  Google Scholar 

  • Tondelli P, Schuppisser JP (1994) Papillary stenosis. In: LH Blumgart (ed) Surgery of the liver and biliary tract, vol I. Churchill Livingstone, Edinburgh, pp 819–832

    Google Scholar 

  • Tzovaras G, Rowlands BJ (1998) Diagnosis and treatment of sphincter of Oddi dysfunction. Br J Surg 85:588–595

    Article  PubMed  CAS  Google Scholar 

  • Uchiyama K, Onishi H, Tani M, Kinoshita H, Ueno M, Yamaue H (2002) Indication and procedure for treatment of hepatolithiasis. Arch Surg 137:149–153

    Article  PubMed  Google Scholar 

  • Wehrmann T (2004) Sphincter of Oddi dysfunction: cut and inject, but don’t measure the pressure? Endoscopy 36:179–182

    Article  PubMed  CAS  Google Scholar 

  • Xu Z, Wang L, Zhang N, Deng S, Xu Y, Zhou X (2002) Clinical applications of plasma shock wave lithotrypsy in treating postoperative remnant stones impacted in the extra-and intrahepatic bile ducts. Surg Endosc 16:646–649

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Kern, B., Ackermann, C. (2006). Cholangitis und intrahepatische Cholelithiasis. In: Schumpelick, V., Siewert, J.R., Rothmund, M. (eds) Praxis der Viszeralchirurgie. Springer, Berlin, Heidelberg . https://doi.org/10.1007/978-3-540-29042-1_74

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-29042-1_74

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-29040-7

  • Online ISBN: 978-3-540-29042-1

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics