Doctor insights on:
Cholangitis After Cholecystectomy
What kind?: Cholangitis (bile duct infection) from a gallstone that got stuck along the way is a serious, acute problem. Rx involves antibiotics and removal of the stone (often with a special endoscopy procedure-ercp), and/or surgery. Sclerosing cholangitis is a different thing altogether. Chronic, autoimmune, inflammatory bile duct condition, often assoc with inflam bowel. Difficult issue. See GI specialist. ...Read more
It is an infection of the bile ducts. Usually there is an obstruction of the bile ducts. Most commonly this is caused by a gallstone, although there are other rarer causes. It can be life threatening. If you have pain in your right upper quadrant, a fever and are jaundiced, ...Read more
Infection: It is an infection of the bile ducts. Usually there is an obstruction of the bile ducts. Most commonly this is caused by a gallstone, although there are other rarer causes. It can be life threatening. If you have pain in your right upper quadrant, a fever and are jaundiced, get medical attention immediately! ...Read more
WhatWorks, ↓Body Fat: For most, seems to not matter short-term. However, diabetes, ↑ body fat & ↑ LDL lipoprotein particle nos. All strongly correlated with both gb disease & multiple other issues, esp. Cardiovascular disease (heart attack/stroke, etc.). Thus suggest optimize lipoproteins/nmr particle test, hba1c, bp, cut dietary sugars (stored a visceral fat), look up & study: nusi. Org, robert lustig videos, etc. ...Read more
Anatomy: If you can't get there (safely) from here (the belly button), due to excessive scar tissue, odd anatomy, or other factors, then open cholecystectomy is chosen. Sometimes there are factors that can not be determined until the procedure has started, and the surgeon looks inside. Roughly about 10% or less of laparoscopic procedures get converted to open ones. ...Read more
Management of SC: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments. ...Read more
Yes: We don't always recognize the problem however, . ...Read more
Preop evaluation of indications, risks, associated issues- jaundice or common duct issues.
Anesthesia eval, for general, epidural etc.
Surgical items- like prior abdominal, surgery or conditions.
Instruments are to make incision, hold tissue out of the way and to dissect and remove gallbladder and close off feeding artery and cystic duct, and or to explore common duct.
Achieve hemo stasis and close. ...Read more
Not sure of question: There are several causes of cholangitis, bacterial and autoimmune. Bacterial cholangitis has several causes, ascending infection caused by blockage from stones (choledocholithiasis), malignancy or iatrogenic. This is because bacteria grow in the stagnant bile upstream of the blockage and cause biliary sepsis. Autoimmune cholangitis also includes primary sclerosing cholangitis. ...Read more
Cholecystectomy =: Surgical removal of the gallbladder. If you are referring to a quote in a radiology report, the interpreting radiologist sees that the gallbladder is absent, and surgical clips are present in the area where one would expect the cystic duct and cystic artery to be ligated. ...Read more
How long do I need to wait after cholecystectomy to start doing different types of yoga asana again?
Depends: Your surgeon is the best person to ask as he or she know what was done and how soon he will permit you to do anything that might jeopardize his closure. ...Read more
See below: It is a surgical procedure done under general anesthesia, while one is asleep. One to four small incisions are used for the surgical instruments. Carbon dioxide gas is used and a camera inserted to see. The gallbladder is removed, then you wake up and go to the recovery room. ...Read more
A gimmick: There are many ways to do a laparoscopic cholecystectomy. Instead of using metal clips to divide the duct going into the gallbladder, you can divide the cystic duct and then tie it with a suture or with an energy source. No real advantage over using clips (and the energy source may be more expensive and less reliable! ...Read more
Usually: Cholangitis is bile duct inflammation usually occurring secondary to bile duct obstruction from stones. Bacteria in the bile duct are readily absorbed into the bloodstream from the liver and lead to serious infections. Classic findings are right upper abdominal pain (not unlike a gallbladder attack), fever, and jaundice. Some people are so ill that they are lethargic and have no pain complaints. ...Read more
Inflamed bile ducts: Cholangitis can be caused by bile duct inflammation from infections, blockage of ducts by stones, rarely by strictures (benign or from cancer), it is also seen in patients with ulcerative colitis as primary sclerosing cholangitis. The treatment depends on the condition causing cholangitis. ...Read more
Pain, Fever, Jaundice: Cholangitis is an infection in the bile ducts that occurs with blockage of the bile duct, typically due to stones, tumors, or strictures of the ducts. Bacteria rapidly enter the bloodstream from the liver, causing serious infections. Treatment centers on IV antibiotics, aggressive supportive care, and, occasionally, relief of the blockage (typically performed by gastroenterologists via ercp). ...Read more