8 doctors weighed in:

How can I treat primary sclerosing cholangitis?

8 doctors weighed in
Dr. Arthur Heller
Internal Medicine - Gastroenterology
6 doctors agree

In brief: Difficult problem

Psc: autoimmune swelling/scarring of bile ducts within and outside the liver; often associated with infl.
Bowel (usually ulc colitis). Increased risk for biliary ca. Med rx for itch, biochem abnormalities, e.g. Urso (bear bile), antihistamines, antibiotics for infections, vitamin supllements for deficiencies. Ercp procedure may open some strictures (narrowing). Ultimately, may need liver transpla.

In brief: Difficult problem

Psc: autoimmune swelling/scarring of bile ducts within and outside the liver; often associated with infl.
Bowel (usually ulc colitis). Increased risk for biliary ca. Med rx for itch, biochem abnormalities, e.g. Urso (bear bile), antihistamines, antibiotics for infections, vitamin supllements for deficiencies. Ercp procedure may open some strictures (narrowing). Ultimately, may need liver transpla.
Dr. Arthur Heller
Dr. Arthur Heller
Thank

In brief: Ursodiol

Standard treatment includes ursodiol, a bile acid naturally produced by the liver, which has been shown to lower elevated liver enzyme numbers in people with psc, but has not improved liver- or overall survival.
Invasive approaches include ERCP and stunting are needed to open major blockage. Liver transplant is the only proven long term treatment.

In brief: Ursodiol

Standard treatment includes ursodiol, a bile acid naturally produced by the liver, which has been shown to lower elevated liver enzyme numbers in people with psc, but has not improved liver- or overall survival.
Invasive approaches include ERCP and stunting are needed to open major blockage. Liver transplant is the only proven long term treatment.
Dr. Shady Macaron
Dr. Shady Macaron
Thank
Get help from a real doctor now
Dr. Crystal Twynham
Board Certified, Surgery
29 years in practice
938K people helped
Continue
108,000 doctors available
Read more answers from doctors