[Diagnosis, etiology and treatment of cholangitis following bilio-digestive surgery].
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.
Carrel
T
T
Klinik für viszerale und Transplantationschirurgie, Inselspital Bern.
Matthews
J
J
Schweizer
W
W
Baer
H
H
Gertsch
P
P
Blumgart
L H
LH
D002761:Cholangitis / Q000209:etiology / Q000601:surgery*; D002768:Choledochostomy; D003937:Diagnosis, Differential; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation
Diagnostic, étiologie et traitement de la cholangite après chirurgie bilio-digestive.