Abstract: Cholangitis was initially described by Charcot as a serious and dangerous illness; nonetheless, it is currently acknowledged that the severity can range from mild to life-threatening. In this review we want to discuss the background of this illness to understand it better and medical diagnosis methods to find out acute cholangitis, we also highlight treatment and surgery methods. We conducted a comprehensive review of literature on surgical management strategy for acute cholangitis through electronic search in several databases; MIDLINE, EMBASE, GOOGLE Scholar, up to December 2017. Acute cholangitis is a serious infective condition of the biliary tract that requires prompt therapy. The application of therapeutic endoscopy and interventional radiology has significantly improved the morbidity and mortality related to the condition. Endoscopic therapy plays a significant role in both the acute stage of acute cholangitis and the definitive treatment of choledocholithiasis. However, it must be highlighted that if endoscopic intervention is not successful or if the patients do not recover after endoscopic treatment, surgical or radiological intervention has to be performed prior to the patients deteriorate further. The definitive treatment of the biliary stones depends on surgical risks of the patients and the accessibility of endoscopic and surgical expertise at various centers. Open surgical procedure, nonetheless, has been associated with high morbidity and death. Medical diagnosis of acute cholangitis, which is based on patient's clinical presentations, laboratory outcomes and diagnostic imaging, provides an international platform for its early diagnosis and assists to improve morbidity and mortality.
Keywords: Acute Cholangitis, choledocholithiasis, Endoscopic therapy.
Title: Surgical Management Strategy for Acute Cholangitis: Overview
Author: Mohammed Yahya H Al Jamahir, Mohammed Ayad Almutairi, Alhassin Saeed Al-Mostaneer, Ebrahim Abdullah Hariri
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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