ASGE guideline on the management of cholangitis.
Gastrointest Endosc
; 94(2): 207-221.e14, 2021 08.
Article
in En
| MEDLINE
| ID: mdl-34023065
ABSTRACT
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cholangitis
Type of study:
Guideline
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Gastrointest Endosc
Year:
2021
Document type:
Article
Affiliation country:
United States