Ascending cholangitis other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anila Hussain, MD [2]
Overview
Other tests in diagnosis of ascending cholangitis include ERCP which is a gold standard test in diagnosis of acute cholangitis. It is used both for diagnostic and therapeutic purposes, however, it is preferred a therapeutic drainage method. ERCP has a higher rate of complications as compared to other endoscopic procedures[1]
Other Imaging Findings
- Endoscopic retrograde cholangiopancreatography (ERCP)[2]:
- ERCP is a procedure to examine the pancreatic and bile ducts.
- Direct observation of obstruction or bile duct stone is possible
- ERCP is a gold standard test in diagnosis of ascending cholangitis[3]
- Test of choice for patients who may need drainage
- Also done directly in a patient with classic traid of acute cholangitis (fever, jaundice, abdominal pain)
- Has both diagnostic and therapeutic efficacy
- Can also be used as reference test to determine the efficacy of other methods like MRCP
- Preferred as a therapeutic method for biliary drainage usually as compared to diagnostic
- ERCP has a higher rate of complications as compared to other endoscopic procedures. Some common complications include bleeding, trauma, pancreatitis
- Percutaneous transhepatic cholangiogram (PTCA).
References
- ↑ Mohammad Alizadeh AH (2017). "Cholangitis: Diagnosis, Treatment and Prognosis". J Clin Transl Hepatol. 5 (4): 404–413. doi:10.14218/JCTH.2017.00028. PMC 5719198. PMID 29226107.
- ↑ Mohammad Alizadeh AH (2017). "Cholangitis: Diagnosis, Treatment and Prognosis". J Clin Transl Hepatol. 5 (4): 404–413. doi:10.14218/JCTH.2017.00028. PMC 5719198. PMID 29226107.
- ↑ Lee NK, Kim S, Lee JW, Kim CW, Kim GH, Kang DH; et al. (2009). "Discrimination of suppurative cholangitis from nonsuppurative cholangitis with computed tomography (CT)". Eur J Radiol. 69 (3): 528–35. doi:10.1016/j.ejrad.2007.11.031. PMID 18191523.