192 results match your criteria: "Recurrent Pyogenic Cholangitis"
The role of microbes and parasites in recurrent pyogenic cholangitis.
Turk J Surg
June 2024
Department of Surgical Gastroenterology, Institute of Postgraduate Medical Education and Research, Kolkata, India.
Objectives: Recurrent pyogenic cholangitis (RPC) and ascariasis are prevalent in eastern India. Exact pathogenesis of RPC is still a matter of controversy. Hepatobiliary Ascaris infestation has been considered one of the causative factors in Eastern Asia, but conclusive evidence from India is lacking.
View Article and Find Full Text PDFImaging of Biliary Tree Abnormalities.
Radiographics
August 2024
From the Departments of Radiology (C.L.V., D.L.T., A.A.B., N.A.H., H.G., H.S.R., J.M.H., L.C.K., C.G.W., P.N., F.H.M.) and Pathology (D.J.E.), Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St Clair St, Ste 800, Chicago, IL 60611; Department of Radiology and Imaging, Medical College of Georgia, Augusta, Ga (P.K.M.); and Department of Radiology, Mayo Clinic College of Medicine, Rochester, Minn (S.K.V.).
Article Synopsis
- Diagnosing biliary system conditions is challenging due to anatomic variations and the dynamic nature of the biliary tract, which can complicate identification of normal versus abnormal findings.
- Choledochal cysts are important to diagnose due to their potential risk for developing into cholangiocarcinoma; while choledocholithiasis (bile duct stones) is the most common cause of biliary dilation, MRI is the most sensitive imaging method for detection.
- Understanding different types of biliary malignancies, including intraductal papillary biliary neoplasms and cholangiocarcinoma, is essential for correct staging and treatment options, as well as differentiating between various inflammatory conditions affecting the biliary tree.
Part 2: Current Concepts in Radiologic Imaging & Intervention in Acute Biliary Tract Diseases.
J Intensive Care Med
June 2024
University of Arizona College of Medicine - Phoenix, Phoenix, AZ, United States.
Article Synopsis
- Acute cholangitis is a common condition in critically ill, often elderly patients, primarily caused by factors like bile duct stones, strictures, and infections due to prior medical procedures.
- Rare forms such as sclerosing cholangitis and recurrent pyogenic cholangitis mainly affect specific populations like Asian immigrants.
- Effective treatment requires a team of specialists, including intensivists, surgeons, and various types of doctors, to manage imaging and interventions for patients with these conditions.
Recurrent Pyogenic Cholangiohepatitis: A Case Report.
Cureus
April 2024
Gastroenterology, AlNoor Specialist Hospital, Makkah, SAU.
Article Synopsis
- Recurrent pyogenic cholangitis (RPC) is a condition mainly found in Asian populations, featuring bile duct strictures, dilatation, and pigmented stone formation, leading to symptoms like abdominal pain, jaundice, and fever.
- A 43-year-old Bangladeshi male with a history of chronic hepatitis B and recurrent liver abscesses was diagnosed with RPC after presenting with two days of abdominal pain and fever.
- The case underscores the need for healthcare providers to include RPC in the differential diagnosis for patients showing signs of liver abscesses and ascending cholangitis.
Hepatolithiasis: Epidemiology, presentation, classification and management of a complex disease.
World J Gastroenterol
April 2024
Department of HPB Surgery, Bristol Royal Infirmary, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol BS2 8HW, United Kingdom.
Article Synopsis
- Hepatolithiasis is the presence of biliary stones in the intrahepatic bile ducts, and is more common in Asia due to socioeconomic, dietary factors, and biliary parasites; its global incidence has increased due to migration.
- The disease involves complex mechanisms like cholangitis and persistent infections that cause recurrent bacterial infections, known as "recurrent pyogenic cholangitis," and can increase the risk of intrahepatic cholangiocarcinoma.
- Effective management requires a multidisciplinary approach, integrating efforts from various specialists to address symptoms and prevent severe complications, with a focus on understanding epidemiology, pathophysiology, and treatment options.
Recurrent Bacillus subtilis Var. Natto Bacteremia and Review of the Literature on Bacillus subtilis: The First Case Report.
Am J Case Rep
February 2024
Department of Infectious Diseases, St Luke's International Hospital, Tokyo, Japan.
Article Synopsis
- * The patient had underlying liver conditions and faced recurrent infections, leading to complications even after stopping natto consumption, underscoring the need for ongoing medical monitoring.
- * A literature review revealed 30 cases of B. subtilis infections, indicating a growing awareness of such infections due to improved detection methods, with a notable occurrence of bacteremia from B. subtilis var. natto.
Frequency of Post Endoscopic Retrograde Cholangiopancreatography Acute Pancreatitis in an Academic Hospital of Bangladesh.
Mymensingh Med J
January 2024
Dr Mohammad Shohidul Islam, Assistant Registrar, Department of Medical Gastroenterology, Sheikh Russel National Gastroliver Institute & Hospital (SRNGI&H), Dhaka, Bangladesh; E-mail:
Article Synopsis
- Post-ERCP acute pancreatitis (PEP) is a frequent and serious complication with high risks of morbidity and mortality, yet there's limited research on its occurrence in resource-limited settings like Bangladesh.
- A study conducted at Dhaka Medical College from April to December 2018 involved 168 patients undergoing ERCP, finding that the most common reason for the procedure was choledocholithiasis.
- The study identified that factors like the number of cannulation attempts, duration of those attempts, and certain technical procedures significantly influenced the likelihood of developing PEP, with mild, moderate, and severe cases accounting for 50%, 43.7%, and 6.3% of occurrences, respectively.
My 40-Year Encounter with ERCP: A Saga of Service, Syndromes, and Solutions.
J Clin Exp Hepatol
May 2023
Digestive Diseases Centre, Dr. Khuroo's Medical Clinic, Srinagar, India.
Article Synopsis
- Endoscopic retrograde cholangiopancreatography (ERCP) has become an essential tool in diagnosing and treating gastrointestinal diseases, with the author performing over 10,100 procedures since 1982.
- The recognition of various clinical syndromes, including hepatobiliary and pancreatic ascariasis and recurrent pyogenic cholangitis, has emerged from extensive studies using ERCP as a diagnostic method.
- Furthermore, ERCP has contributed to understanding complications in liver transplantation and identified conditions like sphincter of Oddi dyskinesia and portal biliopathy, enhancing management strategies for affected patients.
Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy.
Cureus
September 2023
Department of Gastroenterology, Gastrointestinal Endoscopy Service, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BRA.
Article Synopsis
- * A 47-year-old woman with a history of recurrent pyogenic cholangitis underwent a successful combined surgical and endoscopic procedure for stone clearance after presenting with cholangitis.
- * The multidisciplinary team utilized laser lithotripsy and open surgery effectively, resulting in a smooth recovery with no signs of recurrence after one year, demonstrating the effectiveness of this approach.
Article Synopsis
- The occurrence of hepatolithiasis varies widely around the world.* -
- Globalization has changed how the disease spreads and affects different populations.* -
- A team of experts from various fields is essential for quick diagnosis, safe and cost-effective treatment, and better outcomes for patients.*
Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.
Surg Endosc
August 2023
Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, National Cancer Centre Singapore and Duke-National University Singapore Medical School, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Article Synopsis
- Minimally invasive liver resection (MILR) helps treat liver diseases and is becoming more common worldwide.
- A study looked at 273 patients who had two types of surgeries, robotic (RLR) and laparoscopic (LLR), to see how they compared for treating liver stones.
- The results showed that RLR had less blood loss and fewer patients needed to switch to traditional open surgery, but both methods were generally safe.
Diagnosis and management of hepatolithiasis in an adult patient: A case report.
Ann Med Surg (Lond)
October 2022
M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Article Synopsis
- Hepatolithiasis, or intrahepatic calculi, mostly occurs in Southeast Asia and is characterized by recurrent upper abdominal pain; it's rare in Western countries.
- Common complications include recurrent pyogenic cholangitis, often linked to the presence of stones in the bile ducts.
- Effective diagnosis and management rely on imaging studies and percutaneous procedures, with treatment aimed at preventing cholangitis and stopping disease progression to avoid biliary cirrhosis.
Secondary sclerosing cholangitis: mimics of primary sclerosing cholangitis.
Abdom Radiol (NY)
January 2023
Department of Radiology, Case Western Reserve University, Cleveland, OH, USA.
Article Synopsis
- Sclerosing cholangitis is a long-term liver disease where bile ducts become narrowed and scarred, leading to complications.
- It can be classified as primary (PSC) when there's no known cause or secondary (SSC) when linked to another medical condition.
- The article reviews how to identify and differentiate between PSC and SSC through clinical features, their causes, and specific imaging findings associated with each type.
Large retrospective study analysing predictive factors of primary treatment failure, recurrence and death in pyogenic liver abscesses.
Infection
October 2022
Service de Médecine Interne, Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris, Université de Paris, 100 Boulevard du Général Leclerc, 92110, Clichy, France.
Article Synopsis
- Pyogenic liver abscess (PLA) is a serious illness that can lead to bad outcomes like treatment failure or death.
- A study looked at 302 patients with PLA to find out what factors might predict these bad outcomes.
- They discovered that certain conditions, like having other diseases or specific types of infections, made patients more likely to have trouble, but treating the abscess helped reduce the chance of dying.
EUS-guided hepaticogastrostomy using a rendezvous technique to treat left intrahepatic duct stones in a patient with recurrent pyogenic cholangitis.
VideoGIE
February 2022
SHARP Health, San Diego, California.
Article Synopsis
- The video demonstrates a procedure called EUS-guided hepaticogastrostomy, which involves creating a connection between the liver and stomach using ultrasound guidance.
- This technique allows for cholangioscopy, a method used to visualize the bile ducts, and facilitates treatment of left intrahepatic duct stones.
- The procedure also incorporates electrohydraulic lithotripsy, a technique that uses shock waves to break up the stones for easier removal.
Recurrent pyogenic cholangitis: An indication for liver transplantation.
Hepatobiliary Pancreat Dis Int
August 2022
Department of Surgery, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.
Oriental Cholangiohepatitis in a Caucasian male.
SAGE Open Med Case Rep
July 2021
Department of Gastroenterology, West Palm Beach VA Medical Center, West Palm Beach, FL, USA.
Article Synopsis
- Recurrent pyogenic cholangitis (RPC) is primarily seen in Southeast Asian populations, but a case is reported involving a Caucasian veteran with a 5-year history of recurrent fevers and abdominal pain after serving in Asia.
- Diagnosis came after thorough evaluation, confirming RPC, which showed improvement following biliary decompression and antibiotic treatment.
- This case highlights that RPC, although uncommon, should be considered in any patient presenting with repeated abdominal pain and fevers, regardless of their racial background.
Erratum to "Difficult to Treat Recurrent Pyogenic Cholangitis with Portal Pylephlebitis in the Setting of Idiopathic CD4+ Lymphocytopaenia" [J Clin Exp Hepatol 9 (2019) 749-752].
J Clin Exp Hepatol
December 2020
Department of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Article Synopsis
- The text refers to a specific article correction related to the DOI: 10.1016/j.jceh.2019.03.007.
- It indicates that there were inaccuracies or errors in the original publication that needed to be addressed.
- The correction is meant to clarify information and ensure the integrity of the research presented in the article.
Increased Risk of Pyogenic Liver Abscess after Endoscopic Sphincterotomy for Treatment of Choledocholithiasis.
Infect Drug Resist
June 2021
Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Background And Aim: Endoscopic sphincterotomy (ES) abolished the barrier between the hepatobiliary system and duodenum and might be at risk of pyogenic liver abscess (PLA). We aimed to identify the association factors of PLA in patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) procedures for treatment of choledocholithiasis.
Methods: This study was based on the Chung Gung Research Database (CGRD) between January 1, 2001 and December 31, 2018.
Treatment response and long-term outcomes in biliary ascariasis: A prospective study.
Arab J Gastroenterol
June 2021
Department of Gastroenterology, School of Digestive and Liver Diseases (SDLD), IPGMER & SSKM Hospital, Kolkata, India.
Article Synopsis
- The study investigates the effectiveness of anti-helminthic therapy and endoscopic procedures for treating biliary ascariasis, with a focus on managing recurrent biliary events.
- Out of 98 patients treated, only 23.5% responded to medication alone, while ERCP was successful in 86.7% of cases.
- Key findings indicate that lower socioeconomic status and longer follow-up times are associated with a higher risk of recurrent biliary issues, highlighting the importance of early ERCP and hygiene practices for better outcomes.
Duplication of the common bile duct manifesting as recurrent pyogenic cholangitis: A case report.
World J Gastroenterol
January 2021
Internal Medicine, Eunpyeong St. Mary's Hospital, Catholic University of Korea, Seoul 03312, South Korea.
Background: Duplication of the extrahepatic bile duct (DCBD) is an extremely rare congenital anomaly of the biliary system. There are five types of DCBD according to the latest classification. Among them, Type V is characterized by single drainage of the extrahepatic bile ducts.
View Article and Find Full Text PDFHuman Ascariasis: An Updated Review.
Recent Pat Inflamm Allergy Drug Discov
September 2021
Department of Paediatrics, The Chinese University of Hong Kong, and Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Shatin, Hong Kong.
Article Synopsis
- Ascaris lumbricoides is a common parasitic infection affecting over 1.2 billion people globally, primarily transmitted through ingesting contaminated eggs.
- The article reviews recent studies on the evaluation, diagnosis, and treatment of ascariasis, emphasizing its high prevalence in tropical and subtropical regions, particularly among young children.
- Patients typically present with mild symptoms like nausea and abdominal discomfort, but can face serious complications, with diagnosis confirmed through fecal examinations and treatment involving anthelminthic medication.
Pyogenic liver abscess in liver transplant recipient: A warning signal for the risk of recurrence and retransplantation.
Transpl Infect Dis
December 2020
Service de Médecine Interne, Hôpital Beaujon, Assistance Publique - Hôpitaux de Paris, Clichy, France.
Article Synopsis
- Pyogenic liver abscesses (PLA) in liver transplant recipients (PLA-LTR) were studied to understand their unique characteristics compared to those in non-transplanted patients (PLA-C), revealing rare but significant distinctions.
- In a case-control study of 176 PLA patients, 14 were liver transplant recipients; most had positive cultures for bacteria like Enterobacteriaceae and Enterococcus, and a majority also experienced bacteremia.
- While key clinical and microbiological features were similar between PLA-LTR and PLA-C, PLA-LTR patients showed higher instances of ischemic cholangitis and a notable risk of recurrence and retransplantation within the first year after diagnosis.
Difficult to Treat Recurrent Pyogenic Cholangitis With Portal Pylephlebitis in the Setting of Idiopathic CD4+ Lymphocytopaenia.
J Clin Exp Hepatol
March 2019
Department of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Recurrent pyogenic cholangitis (RPC) is a disease characterized by multiple strictures of the biliary tree, impaired biliary drainage, formation of intrahepatic biliary pigment stones and recurrent bouts of cholangitis. We report the case of a 39-year-old businessman with diagnosed chronic calcific pancreatitis, who presented to us with recurrent episodes of cholangitis, leading to portal pyaemia, and progressive liver failure, which could not be controlled despite adequate biliary drainage. The patient rapidly developed progressive liver failure and sepsis-related coagulation failure.
View Article and Find Full Text PDF