ASGE guideline on the management of cholangitis

被引：46

作者：

Buxbaum, James L. ^{[1
]}

Buitrago, Carlos ^{[1
]}

Lee, Alice ^{[1
]}

Elmunzer, Badih Joseph ^{[2
]}

Riaz, Ahsun ^{[3
]}

Ceppa, Eugene P. ^{[4
]}

Al-Haddad, Mohammed ^{[5
]}

Amateau, Stuart K. ^{[6
]}

Calderwood, Audrey H. ^{[7
]}

Fishman, Douglas S. ^{[8
]}

Fujii-Lau, Larissa L. ^{[9
]}

Jamil, Laith H. ^{[10
,11
]}

Jue, Terry L. ^{[12
]}

Kwon, Richard S. ^{[13
]}

Law, Joanna K. ^{[14
]}

Lee, Jeffrey K. ^{[15
]}

Naveed, Mariam ^{[16
]}

Pawa, Swati ^{[17
]}

Sawhney, Mandeep S. ^{[18
]}

Schilperoort, Hannah ^{[1
]}

Storm, Andrew C. ^{[19
]}

Thosani, Nirav C. ^{[20
]}

Qumseya, Bashar J. ^{[21
]}

Wani, Sachin ^{[22
]}

机构：

[1] Univ Southern Calif, Keck Sch Med, Div Gastrointestinal & Liver Dis, Los Angeles, CA 90007 USA

[2] Med Univ South Carolina, Dept Gastroenterol & Hepatol, Charleston, SC 29425 USA

[3] Northwestern Med, Dept Vasc & Intervent Radiol, Chicago, IL USA

[4] Indiana Univ Sch Med, Dept Surg, Indianapolis, IN 46202 USA

[5] Indiana Univ Sch Med, Div Gastroenterol & Hepatol, Indianapolis, IN 46202 USA

[6] Univ Minnesota, Med Ctr, Div Gastroenterol Hepatol & Nutr, Minneapolis, MN 55455 USA

[7] Dartmouth Hitchcock Med Ctr, Geisel Sch Med, Dept Gastroenterol & Hepatol, Lebanon, NH 03766 USA

[8] Texas Childrens Hosp, Baylor Coll Med, Sect Pediat Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA

[9] Queens Med Ctr, Dept Gastroenterol, Honolulu, HI USA

[10] Beaumont Hlth, Sect Gastroenterol & Hepatol, Royal Oak, MI USA

[11] Oakland Univ, William Beaumont Sch Med, Rochester, MI 48063 USA

[12] Permanente Med Grp Inc, Dept Gastroenterol, San Francisco, CA USA

[13] Univ Michigan, Michigan Med, Dept Gastroenterol, Ann Arbor, MI 48109 USA

[14] Virginia Mason Med Ctr, Inst Digest Dis, Dept Gastroenterol & Hepatol, Seattle, WA 98101 USA

[15] Kaiser Permanente San Francisco Med Ctr, Dept Gastroenterol, San Francisco, CA USA

[16] Advent Hlth Hosp Altamonte Springs, Dept Gastroenterol Hepatol, Advent Hlth Med Grp, Altamonte Springs, FL USA

[17] Wake Forest Sch Med, Dept Gastroenterol, Winston Salem, NC 27101 USA

[18] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Gastroenterol, Boston, MA 02115 USA

[19] Mayo Clin, Dept Gastroenterol & Hepatol, Rochester, MN USA

[20] UTHealth, McGovern Med Sch, Div Gastroenterol Hepatol & Nutr, Houston, TX USA

[21] Univ Florida, Dept Gastroenterol, Gainesville, FL USA

[22] Univ Colorado, Div Gastroenterol & Hepatol, Anschutz Med Campus, Aurora, CO USA

来源：

GASTROINTESTINAL ENDOSCOPY | 2021年 / 94卷 / 02期

关键词：

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; BILIARY DRAINAGE; BILE-DUCT; ERCP; OUTCOMES; SPHINCTEROTOMY; DECOMPRESSION; IMPACT; SAFETY; URGENT;

D O I：

10.1016/j.gie.2020.12.032

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Cholangitis is a GI emergency requiring prompt recognition and treatment. The purpose of this document from the American Society for Gastrointestinal Endoscopy's (ASGE) Standards of Practice Committee is to provide an evidence-based approach for management of cholangitis. This document addresses the modality of drainage (endoscopic vs percutaneous), timing of intervention (<48 hours vs >48 hours), and extent of initial intervention (comprehensive therapy vs decompression alone). Grading of Recommendations, Assessment, Development, and Evaluation methodology was used to formulate recommendations on these topics. The ASGE suggests endoscopic rather than percutaneous drainage and biliary decompression within 48 hours. Additionally, the panel suggests that sphincterotomy and stone removal be combined with drainage rather than decompression alone, unless patients are too unstable to tolerate more extensive endoscopic treatment.

引用

页码：207 / +

页数：29

共 36 条

[1] ACUTE CHOLANGITIS [J].