Titre : Angiocholite

Angiocholite : Questions médicales fréquentes

Termes MeSH sélectionnés :

Cholangitis
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?\nQuand utiliser une cholangiographie ?\nQuels signes cliniques indiquent une angiocholite ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Angiocholite", "description": "Quels sont les symptômes principaux ?\nLa douleur est-elle localisée ?\nY a-t-il des symptômes systémiques ?\nComment se manifeste la jaunisse ?\nLes nausées sont-elles fréquentes ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Angiocholite", "description": "Comment prévenir l'angiocholite ?\nLes vaccinations sont-elles utiles ?\nFaut-il surveiller les antécédents médicaux ?\nL'alimentation joue-t-elle un rôle ?\nLes examens réguliers sont-ils importants ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Angiocholite", "description": "Quel est le traitement de première ligne ?\nQuand est nécessaire une intervention chirurgicale ?\nLes antibiotiques sont-ils suffisants ?\nComment se déroule le drainage biliaire ?\nY a-t-il des traitements complémentaires ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Angiocholite", "description": "Quelles sont les complications possibles ?\nL'abcès hépatique est-il fréquent ?\nComment la septicémie se développe-t-elle ?\nQu'est-ce que la cholestase ?\nLes complications augmentent-elles le risque de mortalité ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Angiocholite", "description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque ?\nLes maladies hépatiques augmentent-elles le risque ?\nLe sexe joue-t-il un rôle ?\nLes antécédents familiaux sont-ils significatifs ?", "url": "https://questionsmedicales.fr/mesh/D002761?mesh_terms=Cholangitis&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer l'angiocholite ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des examens d'imagerie et des analyses sanguines." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests incluent les enzymes hépatiques, la bilirubine et les marqueurs d'infection." } }, { "@type": "Question", "name": "L'échographie est-elle utile ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'échographie permet de visualiser les voies biliaires et détecter des obstructions." } }, { "@type": "Question", "name": "Quand utiliser une cholangiographie ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La cholangiographie est utilisée pour visualiser les voies biliaires et confirmer l'infection." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une angiocholite ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleur abdominale, jaunisse et frissons sont des signes cliniques fréquents." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fièvre, douleur abdominale, jaunisse et démangeaisons." } }, { "@type": "Question", "name": "La douleur est-elle localisée ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur est souvent localisée dans la partie supérieure droite de l'abdomen." } }, { "@type": "Question", "name": "Y a-t-il des symptômes systémiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes comme des frissons et une fatigue généralisée peuvent survenir." } }, { "@type": "Question", "name": "Comment se manifeste la jaunisse ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "La jaunisse se manifeste par une coloration jaune de la peau et des yeux." } }, { "@type": "Question", "name": "Les nausées sont-elles fréquentes ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les nausées et vomissements peuvent accompagner l'angiocholite." } }, { "@type": "Question", "name": "Comment prévenir l'angiocholite ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut le traitement rapide des calculs biliaires et des infections." } }, { "@type": "Question", "name": "Les vaccinations sont-elles utiles ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Vacciner contre l'hépatite peut réduire le risque d'infections hépatiques associées." } }, { "@type": "Question", "name": "Faut-il surveiller les antécédents médicaux ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, surveiller les antécédents de maladies biliaires aide à prévenir l'angiocholite." } }, { "@type": "Question", "name": "L'alimentation joue-t-elle un rôle ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation équilibrée peut aider à prévenir la formation de calculs biliaires." } }, { "@type": "Question", "name": "Les examens réguliers sont-ils importants ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des examens réguliers peuvent détecter précocement des problèmes biliaires." } }, { "@type": "Question", "name": "Quel est le traitement de première ligne ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement initial inclut des antibiotiques pour combattre l'infection." } }, { "@type": "Question", "name": "Quand est nécessaire une intervention chirurgicale ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Une intervention chirurgicale est nécessaire si l'obstruction persiste ou s'aggrave." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils suffisants ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Parfois, des procédures comme la drainage biliaire sont nécessaires en plus des antibiotiques." } }, { "@type": "Question", "name": "Comment se déroule le drainage biliaire ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Le drainage biliaire peut être effectué par voie endoscopique pour soulager l'obstruction." } }, { "@type": "Question", "name": "Y a-t-il des traitements complémentaires ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des soins de soutien comme l'hydratation et la gestion de la douleur sont souvent nécessaires." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'abcès hépatique, la septicémie et la cholestase." } }, { "@type": "Question", "name": "L'abcès hépatique est-il fréquent ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'abcès hépatique peut survenir si l'angiocholite n'est pas traitée rapidement." } }, { "@type": "Question", "name": "Comment la septicémie se développe-t-elle ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "La septicémie peut se développer si l'infection se propage dans la circulation sanguine." } }, { "@type": "Question", "name": "Qu'est-ce que la cholestase ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La cholestase est une condition où la bile ne s'écoule pas correctement, causant des complications." } }, { "@type": "Question", "name": "Les complications augmentent-elles le risque de mortalité ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les complications graves peuvent augmenter le risque de mortalité si non traitées." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent les calculs biliaires, les infections et les antécédents de chirurgie biliaire." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque d'angiocholite augmente avec l'âge, surtout chez les personnes âgées." } }, { "@type": "Question", "name": "Les maladies hépatiques augmentent-elles le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les maladies hépatiques chroniques augmentent le risque d'angiocholite." } }, { "@type": "Question", "name": "Le sexe joue-t-il un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Certaines études montrent que les femmes peuvent être plus à risque que les hommes." } }, { "@type": "Question", "name": "Les antécédents familiaux sont-ils significatifs ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de maladies biliaires peuvent augmenter le risque." } } ] } ] }

Sources (893 au total)

Early is Not Superior to Late Endoscopic Intervention for Acute Cholangitis.

Acute cholangitis (AC) is a common emergency with a significant mortality risk. This study aimed to compare urgent, early, and late endoscopic retrograde cholangiopancreatography (ERCP) for AC.... We retrospectively evaluated patients diagnosed with AC from June 2016 to May 2021. According to the time of ERCP, patients were divided into urgent (≤24 h), early (24-48 h), and late (≥48 h) groups. ... We divided 121 patients who underwent ERCP into urgent (N = 15), early (N = 19), and late groups (N = 87). There was no in-hospital mortality and no significant difference in technical success (93.3% ... Urgent or early ERCP was not superior to late ERCP for technical success and 30-day mortality. However, urgent or early ERCP was associated with shorter LOS than late ERCP....

Longitudinal Assessment of Bile Duct Loss in Primary Biliary Cholangitis.

Bile duct involvement is a key finding of primary biliary cholangitis (PBC). The aim of this study was to evaluate baseline ductopenia and disease progression.... Retrospective longitudinal histological follow-up of treatment-naive patients with PBC.... Eighty-three patients were included, with ductopenia correlated to fibrosis stage at baseline. The cumulative incidence of severe ductopenia remained stable after 5 years, whereas fibrosis continually... Bile duct injury does not seem to follow the same course as fibrosis in PBC....

Incidence and Mechanism of Refractory Postoperative Cholangitis After Hepatectomy with Hepaticojejunostomy.

Malignant tumors, such as hilar cholangiocarcinoma, have shown improved long-term outcomes, and measures to prevent late postoperative complications are important. Postoperative cholangitis after hepa... We retrospectively reviewed 71 cases post HHJ at Tokyo Medical and Dental University Hospital from January 2010 to December 2021. Cholangitis was diagnosed using the Tokyo Guideline 2018. Cases due to... Cholangitis occurred in 20 patients (28.1%), with 17 (23.9%) in the RC group. Most patients in the RC group developed their first episode within the first postoperative year. The stenosis group consis... There are two types of postoperative cholangitis, each with different pathogenesis and treatment. It is essential to assess anastomotic stenosis early and provide the necessary treatment....

Treatment of intractable cholangitis in children with biliary atresia: Impact on outcome.

To evaluate the response and outcome with prolonged intravenous antibiotics including home-based intravenous antibiotics in children with intractable cholangitis (IC) after Kasai portoenterostomy (KPE... A retrospective review of treatment and outcome of children with IC post KPE (no resolution after four weeks of antibiotics) was done between 2014 and 2020. A protocol-based antibiotic regimen was use... Twenty children with IC were managed with prolonged antibiotic regimen, including HIVA. All patients were initially listed for liver transplantation (LT) with indication being IC (n = 20) with portal ... Timely and aggressive step-up antibiotic regimen may successfully treat IC and prevent/delay LT. HIVA provides a cost-effective and comfortable environment for a child which might improve compliance w...

[Acute cholangitis secondary to periampullary duodenal diverticulum. Case report].

Periampullary duodenal diverticula are rare and pancreaticobiliary complications infrequent, however, when they are diagnosed and associated with symptoms, they warrant urgent intervention. The aim of... A 68-year-old man with a history of diabetes and hypertension, was admitted to the emergency room with symptoms of abdominal pain, fever, and tachycardia. With acute kidney injury and alterations in l... In patients with signs of severe cholangitis, it is important not to delay endoscopic retrograde cholangiopancreatography, even when infrequent associated pathologies are evidenced, such as a periampu...

Risk Factors for Recurrence of Cholangitis After Pancreaticoduodenectomy and Comparison of Stents in Hepaticojejunostomy.

Postoperative cholangitis is a common complication of pancreaticoduodenectomy. Frequent cholangitis impairs patients' quality of life after pancreaticoduodenectomy. However, the risk factors for recur... The medical records of patients who underwent pancreaticoduodenectomy between 2015 and 2019 in our institution were retrospectively reviewed. At least two episodes of cholangitis a year after pancreat... The recurrence of cholangitis occurred in 40 of 207 patients (19.3%). Multivariate analysis revealed that internal stent (external, RR: 2.16, P = 0.026; none, RR: 4.76, P = 0.011), firm pancreas (RR: ... Internal stents, firm pancreas, constipation, and postoperative high bilirubin levels are risk factors for cholangitis recurrence after pancreaticoduodenectomy. In addition, the long-term implantation...