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Doctor insights on: Cholangitis After Cholecystectomy

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What do you recommend for cholangitis?

What do you recommend for cholangitis?

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

Cholangitis (Definition)

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


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What's a natural way to treat cholangitis?

What's a natural way to treat cholangitis?

Cholangitis: Dependig on the cause, antibiotics are a natural way to treat it. Possibly other intervention is needed including gastroenterology involvement. ...Read more

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What are the symptoms of oriental cholangitis?

What are the symptoms of oriental cholangitis?

Jaundice: Episodes of right upper abdominal pains fever jaundice due to recurrent infection of bile ducts. Pigmented stones are formed in the liver ducts. ...Read more

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What is the definition or description of: cholangitis?

What is the definition or description of: cholangitis?

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

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Does cholecystectomy affects appetite?

Does cholecystectomy affects appetite?

Temporarily: Any surgery can affect appetite temporarily (typically few wks). It all comes back eventually. With cholecystectomy, certain foods cause more problems and eventually u may start to not like those foods if the symptoms are bad enough. ...Read more

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What is the recommended diet for someone who has undergone cholecystectomy?

What is the recommended diet for someone who has undergone cholecystectomy?

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

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Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

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

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What's sclerosing cholangitis?

See below: Complicated for a short answer here. See this site........http://www. Mayoclinic. Org/primary-sclerosing-cholangitis/. ...Read more

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Does cholangitis cause thrombosis?

Sort of: Any inflammatory state increases your risk of thrombosis, but it doesn't directly cause it. ...Read more

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Please explain cholecystectomy post op diet?

Please explain cholecystectomy post op diet?

Gradual: Start with small amounts of bland, low fat foods and gradually progress to a normal diet over 3-5 days.. Please see your primary provider to investigate if not improved. ...Read more

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What are the symptoms of sclerosing cholangitis?

Fatigue, etc.: Most people with sclerosing cholangitis are diagnosed based on routine laboratory abnormalities, often without any symptoms. As liver dysfunction progresses, common symptoms include fatigue, jaundice, itching, diarrhea, and (fat-soluble) vitamin deficiency. ...Read more

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What do you recommend for sclerosing cholangitis?

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

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What are the steps and instruments for open cholecystectomy?

What are the steps and instruments for open cholecystectomy?

Several: 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

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I was wondering what are some nursing diagnoses for cholangitis?

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

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What is the definition or description of: sclerosing cholangitis?

What is the definition or description of: sclerosing cholangitis?

Inflammation: It is an inflammatory condition of the main bile duct that drains bile from the liver. It is important to follow with an experienced gastroenterologist because untreated, the condition can lead to liver failure. ...Read more

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What are all the long-term complications of sclerosing cholangitis?

Liver Failure: Psc (primary sclerosing cholangitis) is a progressive liver disorder that inevitably leads to liver failure. Affected people are potential candidates for liver transplantation, provided that there is no associated cancer present. ...Read more

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When do doctors do open cholecystectomies over laparoscopic procedures?

When do doctors do open cholecystectomies over laparoscopic procedures?

Safety reasons: When there is unfavorable anatomy, too much scarring or other anatomic factors. One of the risks of the surgery is injury to the common bile duct, and some surgeons will open to better visualize the anatomy. Arguably some surgeons claim the laparoscopic view is better. ...Read more

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Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

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

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I've got a tingling sensation / blunt pain after cholecystectomy. What do you suggest?

Depends: Depends on location (ie near incision or at previous gallbladder site) and how far away are you from surgery. Best thing is to call your surgeon. ...Read more

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What are the precautions that must be taken by the pt of cholecystectomy esp regarding DIET?

What are the precautions that must be taken by the pt of cholecystectomy esp regarding DIET?

No restrictions: There should be no restrictions regarding diet after gallbladder removal. As always however, if something bothers you, alter your diet accordingly. Hope this helps! ...Read more

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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

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What happens in laparoscopic cholecystectomy?

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

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What the heck is clipless laparoscopic cholecystectomy?

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

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Is cholangitis painful?

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

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What are the tests for cholangitis?

What are the tests for cholangitis?

Labs, U/S, ERCP: Classic findings include jaundice, right upper abd pain, and fever. Ultrasound may show dilitation of the bile duct +/- (the often-offending) gallstones. Endoscopy. (ERCP) may identify the bile duct obstruction and rx it via stone extraction +/- stenting. ...Read more

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What sort of disease is cholangitis?

What sort of disease is cholangitis?

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

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So what are the symptoms of cholangitis?

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

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What are the common symptoms of cholangitis?

Fever, Pain, Jaundice: The three classic signs of cholangitis are referred to as charcot's triad and consist of pain in the upper right side of the abdomen, fever, and jaundice (yellowing of the skin). ...Read more

Dr. Katharine Cox
2 Doctors shared insights

Gallbladder Removal (Definition)

Gallbladder removal is just that. Surgical removal of the gallbladder. Technically known as a cholecystectomy, it is usually done laparoscopically with small incisions and is one of ...Read more