[Biliary infections : cholecystitis and cholangitis].

Rev Med Suisse

Service des urgences, Département de médecine communautaire, de premier recours et des urgences, HUG, 1211 Genève 14.

Published: August 2016

AI Article Synopsis

  • - Biliary infections frequently lead to emergency department visits, typically benign but can become life-threatening if untreated.
  • - The primary treatment for acute cholecystitis is urgent laparoscopic cholecystectomy within 72 hours, while mild cholangitis can often be managed with antibiotics.
  • - Severe cases of cholangitis may require urgent biliary drainage, with definitive treatment planned for a later time.

Article Abstract

Biliary infections are a common cause of emergency department visit, usually of benign evolution but that can sometimes progress rapidly to a life-threatening emergency.The mainstay of treatment of acute cholecystitis is urgent laparoscopic cholecystectomy, performed in 72 hours.Antibiotic treatment is often sufficient for the initial treatment of mild cholangitis. A percutaneous or endoscopic biliary drainage must be done urgently in case of severe presentations or if the patient doesn't respond to conservative treatment. The definitive treatment of the cause of cholangitis, will be performed in a second time.

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