BACKGROUND Biliary decompression with endoscopic sphincterotomy (EPT) is beneficial in patients with biliary obstruction due to common bile duct (CBD) stones. However, it is not known whether EPT with decompression of the bile duct is beneficial in patients with acute cholangitis and gall bladder stones but without evidence of CBD stones. AIM A randomised controlled study to assess the effect...

A systematic review of references conducted in the process of developing the Guidelines for the Management of Acute Cholangitis and Cholecystitis did not find many high-quality research reports. There were no criteria for diagnosis, severity assessment, or patient transfer, and no established principles of clinical practice guidelines for acute cholangitis and cholecystitis. In order to develop...

Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. We describ...

eosinophilic cholecystitis (ec) is a rare entity that presents in a manner comparable to acute cholecystitis. the diagnosis is based on classical symptoms of cholecystitis with the presence of eosinophils (>90%) within the gallbladder. ec has been reported alone (idiopathic ec) or in combination with manifestations such as eosinophilic cholangitis, hypereosinophilic syndromes, and parasitic inf...

A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a...

Secondary sclerosing cholangitis is a rare condition caused by disorders directly damaging the biliary tree. We present a case of a 34-year-old man with no pre-existing hepatobiliary disease who developed significant cholestasis and subsequent cholangitis while in the intensive care unit for multiorgan failure secondary to H1N1 influenza A (swine flu). After discharge from the intensive care un...

Candida tropicalis is a rare cause of acute cholangitis, predominantly seen in patients with underlying hematological malignancies. Here, we describe a case of acute cholangitis caused by mixed organisms (Candida tropicalis, Candida albicans, and Enterococcus durans) without a known risk factor.

Biliary tract infections, bile duct obstruction include biliary colic,choleocystitis cholangitis,and choleolithiasis are the common health problem worldwide.Twenty-five million adults have gallstones in the United States and 120,000 choleocystomies are performed in U.S. each year. Frequent risk factors include advance age, female sex,pregnancy using estrogen,diabetes,obesity,impacted gallstones...

INTRODUCTION The changing antimicrobial sensitivity pattern of causative organisms poses a therapeutic challenge in treating patients with acute cholangitis. We therefore evaluated the microbial profile and sensitivity pattern to antibiotics in patients with acute bacterial cholangitis. METHODS Data of patients above 18 years of age with acute bacterial cholangitis seen between January 2004 a...