title: [Diagnosis, etiology and treatment of cholangitis following bilio-digestive surgery].
abstract: Cholangitis occurring after biliary-enteric anastomosis is a well-recognized but insufficiently analyzed surgical complication. Guidelines for assessment have not been established and management remains controversial. We examined a two-year experience with recurrent cholangitis following bilio-enteric anastomosis; cholangitis in the absence of anastomotic obstruction was surprisingly frequently encountered. Although selected cases without anastomotic stenosis may be amenable to nonoperative treatment, a low threshold for surgical reintervention should be maintained because radiologic assessment of anastomotic patency is often equivocal and the clinical problem is often best managed surgically.
authors.affiliation: Klinik für viszerale und Transplantationschirurgie, Inselspital Bern.
authors.forename: T
authors.initials: T
authors.lastname: Carrel
authors.forename: J
authors.initials: J
authors.lastname: Matthews
authors.forename: W
authors.initials: W
authors.lastname: Schweizer
authors.forename: H
authors.initials: H
authors.lastname: Baer
authors.forename: P
authors.initials: P
authors.lastname: Gertsch
authors.forename: L H
authors.initials: LH
authors.lastname: Blumgart
mesh_terms: D002761:Cholangitis / Q000209:etiology / Q000601:surgery*; D002768:Choledochostomy; D003937:Diagnosis, Differential; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation
vernacular_title: Diagnostic, étiologie et traitement de la cholangite après chirurgie bilio-digestive.