Cholangitis epidemiology and demographics: Difference between revisions

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===Gender===
===Gender===
*Gallstones are slightly more common in women than in men, and pregnancy increases the risk further.<ref name="efg123"> Cholangitis. Wikipedia (2016). https://en.wikipedia.org/wiki/Ascending_cholangitis#Epidemiology Accessed on April 8, 2016</ref>
*Gallstones are slightly more common in women than in men, and pregnancy increases the risk further.<ref name="pmid10381713">{{cite journal |vauthors=Bateson MC |title=Fortnightly review: gallbladder disease |journal=BMJ |volume=318 |issue=7200 |pages=1745–8 |year=1999 |pmid=10381713 |pmc=1116086 |doi= |url=}}</ref>


===Race===
===Race===

Revision as of 18:52, 8 September 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]

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Overview

Cholangitis is most prevalent in adults, with roughly 1/5 of the population suffering from some form of abdominal pain from gallstones passing through the bile duct into the digestive tract.

Epidemiology and Demographics

Prevalence

  • Within a span of ten years, 15–26% of people will suffer at least one episode of biliary colic, abdominal pain due to the passage of gallstones through the bile duct into the digestive tract.[1]
  • 2–3% of people will develop complications of obstruction in the form of acute cholangitis.
  • The prevalence of gallstone diseases increase with age and body mass index, a mark of obesity.
    • The risk is also increased in those who lose weight rapidly (after weight loss surgery, for example) due to alterations in the composition of the bile that makes it prone to form stones.

Age

  • The condition mostly occurs in adults, with a reported median age at onset of 50-60 years.[1]

Gender

  • Gallstones are slightly more common in women than in men, and pregnancy increases the risk further.[1]

Race

  • The prevalence of cholangitis does not vary by race.

Developed Countries

  • In Western countries, about 15% of all people have gallstones in their gallbladder, but the majority are unaware of this and have no symptoms.[1]
  • Incidence rates range between 0.41 and 1.2 per 100,000 person per year.[2]

Underdeveloped Countries

  • Parasites, specifically including the species Ascaris, Opisthorchis, Clonorchis, Fasciola and Echinococcus, are commonly associated with cholangitis outside of the United States.[3]
    • Ascaris is thought to be the etiologic agent of recurrent pyogenic cholangitis (Oriental cholangiohepatitis) found in Hong Kong, Southeast Asia, Columbia, Italy, and South Africa.

References

  1. 1.0 1.1 1.2 1.3 Bateson MC (1999). "Fortnightly review: gallbladder disease". BMJ. 318 (7200): 1745–8. PMC 1116086. PMID 10381713.
  2. "The prevalence, incidence and natural history of primary sclerosing cholangitis in an ethnically diverse population | BMC Gastroenterology | Full Text".
  3. "RadioGraphics: Biliary Infections: Spectrum of Imaging Findings and Management".


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