AIDS-associated cholangiopathy in a series of ten patients.
OBJECTIVE
To present the clinical, biological, radiologic and cholangiographic findings in patients with clinical suspicion of AIDS associated cholangiopathy in our hospital.


METHODS
We have revised the clinical charts of 10 patients admitted in our hospital from 1991 to 1995.


RESULTS
Ultrasonography and/or abdominal CT were carried out on all the patients. Biliary tract dilatation was observed in 11 cases. From the 12 ERCP, biliary tract was fulfilled in 11. In 5 cases papillary stenosis was diagnosed, sclerosing cholangitis in 2, normal biliary tract in 3 and acute cholangitis in one case. Sphincterotomy was done in 5 patients, with clinical improvement. In one case, another sphincterotomy was needed because of reestenosis.


CONCLUSIONS
ERCP is very important in the diagnosis of AIDS associated cholangiopathy. Endoscopic sphincterotomy relieves abdominal pain in these patients. Cholangiopathy occurs in very immunocompromised HIV positive patients. Survival is very short.
Servicio de Aparato Digestivo, Hospital Nuestra Señora de Aránzazu, San Sebastián, Spain.
A
A
Castiella
J A
JA
Iribarren
P
P
López
J
J
Barrio
M A
MA
Von Wichmann
L F
LF
Alzate
J
J
Arrizabalaga
F
F
Rodríguez
J I
JI
Arenas
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001660:Biliary Tract Diseases / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies