TY - JOUR
T1 - Recurrent pyogenic cholangitis
AU - Harris, Hobart W.
AU - Kumwenda, Zindaba L.
AU - Sheen-Chen, Shyr Ming
AU - Shah, Amish
AU - Schecter, William P.
PY - 1998/7
Y1 - 1998/7
N2 - BACKGROUND: Recurrent pyogenic cholangitis is a complex biliary tract disease characterized by intrahepatic pigment stones, endemic to South-east Asia and seen with increasing frequency in the United States. The purpose of this study was to review the management of this disorder in a county hospital. METHODS: A retrospective review of 45 patients with recurrent pyogenic cholangitis evaluated between 1984 and 1995. The clinical and surgical management of patients with localized versus bilateral hepatolithiasis were compared. RESULTS: The prevalence of recurrent pyogenic cholangitis at our hospital has more than doubled since 1983. Fourteen of 45 patients (31%) had bilateral disease and required more abdominal computed tomography scans (P <0.01), percutaneous cholangiograms (P <0.05), endoscopies (P <0.01), clinic visits (P <0.05), and hospital admissions (P <0.02) as compared with patients with localized disease. CONCLUSIONS: The effective treatment of recurrent pyogenic cholangitis requires definition of the patients' intrahepatic distribution of disease, prior to surgical intervention, and the coordinated efforts of gastroenterologists, radiologists, and surgeons.
AB - BACKGROUND: Recurrent pyogenic cholangitis is a complex biliary tract disease characterized by intrahepatic pigment stones, endemic to South-east Asia and seen with increasing frequency in the United States. The purpose of this study was to review the management of this disorder in a county hospital. METHODS: A retrospective review of 45 patients with recurrent pyogenic cholangitis evaluated between 1984 and 1995. The clinical and surgical management of patients with localized versus bilateral hepatolithiasis were compared. RESULTS: The prevalence of recurrent pyogenic cholangitis at our hospital has more than doubled since 1983. Fourteen of 45 patients (31%) had bilateral disease and required more abdominal computed tomography scans (P <0.01), percutaneous cholangiograms (P <0.05), endoscopies (P <0.01), clinic visits (P <0.05), and hospital admissions (P <0.02) as compared with patients with localized disease. CONCLUSIONS: The effective treatment of recurrent pyogenic cholangitis requires definition of the patients' intrahepatic distribution of disease, prior to surgical intervention, and the coordinated efforts of gastroenterologists, radiologists, and surgeons.
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U2 - 10.1016/S0002-9610(98)00095-6
DO - 10.1016/S0002-9610(98)00095-6
M3 - Article
C2 - 9683129
AN - SCOPUS:0032126030
SN - 0002-9610
VL - 176
SP - 34
EP - 37
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 1
ER -