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.

Related Questions

Whats sclerosing cholangitis?

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

What is the definition or description of: sclerosing cholangitis?

PSC. Sclerosing cholangitis is a condition that affects the bile ducts and causes strictures. Most patients also have ulcerative colitis. Surgery and even liver transplant may be required to treat the disease. Read more...
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...

What kind of doctor sees somebody for sclerosing cholangitis?

Gastroenterologist. Your regular doctor can make the initial diagnosis but you probably want to be followed by a gastroenterologist. Read more...

Will sclerosing cholangitis kill me?

SC is serious stuff. Acute attacks of cholangitis may be complicated by bacterial infection of bloodstream with shock & abscesses; rupture of pus-filled bile ducts into the abdomen or fistulizing to GI tract, abdominal wall, or heart sac: clotting of the portal vein; or bleeding from the bile duct. Acute pancreatitis occurs in 10% of patients with relapsing disease, & there can be increased risk of bile duct cancer. Read more...
PSC is progressive. You do not state whether your sclerosing cholangitis (sc) is primary or secondary, primary sc is an autoimmune disorder where the bile ducts become inflamed, leading to blockage of bile flow leading to liver damage. Secondary sc is due to other type of bile duct injury, but blockage leads to liver damage. Psc is progressive, ssc can only be treated if the blockage is relieved. See a hematologist. Read more...

Is primary sclerosing cholangitis rare?

Yes. 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...

How can I treat primary sclerosing cholangitis?

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. Read more...
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. Read more...