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Recurrent pyogenic cholangitis

MedGen UID:
541064
•Concept ID:
C0267920
•
Disease or Syndrome
Synonyms: Cholangiohepatitis; Oriental cholangiohepatitis; Recurrent Pyogenic Cholangitis
SNOMED CT: Recurrent pyogenic cholangitis (65001009); Oriental cholangiohepatitis (65001009)

Definition

A recurrent form of cholangitis that is characterized by intrabiliary pigment stone formation, biliary tree stricture and obstruction, and recurrent bouts of cholangitis. There is an association with biliary parasitosis, but evidence supporting these infections in the pathogenesis of recurrent pyogenic cholangitis is inconclusive. The most common causes of death are sepsis, liver failure, or complications from cirrhosis. Patients are also at increased risk of cholangiocarcinoma. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRecurrent pyogenic cholangitis

Professional guidelines

PubMed

Treatment response and long-term outcomes in biliary ascariasis: A prospective study.
Patra PS, Das A, Ahmed SKM, Mitra S, Dhali GK
Arab J Gastroenterol 2021 Jun;22(2):164-169. Epub 2021 Mar 19 doi: 10.1016/j.ajg.2020.11.002. PMID: 33752976
Recurrent pyogenic cholangitis: a review of imaging findings and clinical management.
Kwan KEL, Shelat VG, Tan CH
Abdom Radiol (NY) 2017 Jan;42(1):46-56. doi: 10.1007/s00261-016-0953-y. PMID: 27770158
Sclerosing Cholangitis: Clinicopathologic Features, Imaging Spectrum, and Systemic Approach to Differential Diagnosis.
Seo N, Kim SY, Lee SS, Byun JH, Kim JH, Kim HJ, Lee MG
Korean J Radiol 2016 Jan-Feb;17(1):25-38. Epub 2016 Jan 6 doi: 10.3348/kjr.2016.17.1.25. PMID: 26798213Free PMC Article

Recent clinical studies

Etiology

Recurrent pyogenic cholangitis: a review of imaging findings and clinical management.
Kwan KEL, Shelat VG, Tan CH
Abdom Radiol (NY) 2017 Jan;42(1):46-56. doi: 10.1007/s00261-016-0953-y. PMID: 27770158
Oriental cholangiohepatitis (recurrent pyogenic cholangitis): a case series from the Netherlands and brief review of the literature.
Verweij KE, van Buuren H
Neth J Med 2016 Nov;74(9):401-405. PMID: 27905307
Hepatolithiasis and the syndrome of recurrent pyogenic cholangitis: clinical, radiologic, and pathologic features.
Tsui WM, Chan YK, Wong CT, Lo YF, Yeung YW, Lee YW
Semin Liver Dis 2011 Feb;31(1):33-48. Epub 2011 Feb 22 doi: 10.1055/s-0031-1272833. PMID: 21344349
Mimics of cholangiocarcinoma: spectrum of disease.
Menias CO, Surabhi VR, Prasad SR, Wang HL, Narra VR, Chintapalli KN
Radiographics 2008 Jul-Aug;28(4):1115-29. doi: 10.1148/rg.284075148. PMID: 18635632
Recurrent pyogenic cholangitis.
Harris HW, Kumwenda ZL, Sheen-Chen SM, Shah A, Schecter WP
Am J Surg 1998 Jul;176(1):34-7. doi: 10.1016/s0002-9610(98)00095-6. PMID: 9683129

Diagnosis

Human Ascariasis: An Updated Review.
Leung AKC, Leung AAM, Wong AHC, Hon KL
Recent Pat Inflamm Allergy Drug Discov 2020;14(2):133-145. doi: 10.2174/1872213X14666200705235757. PMID: 32628606
Hepatobiliary and pancreatic ascariasis.
Khuroo MS, Rather AA, Khuroo NS, Khuroo MS
World J Gastroenterol 2016 Sep 7;22(33):7507-17. doi: 10.3748/wjg.v22.i33.7507. PMID: 27672273Free PMC Article
Sclerosing Cholangitis: Clinicopathologic Features, Imaging Spectrum, and Systemic Approach to Differential Diagnosis.
Seo N, Kim SY, Lee SS, Byun JH, Kim JH, Kim HJ, Lee MG
Korean J Radiol 2016 Jan-Feb;17(1):25-38. Epub 2016 Jan 6 doi: 10.3348/kjr.2016.17.1.25. PMID: 26798213Free PMC Article
Recurrent pyogenic cholangitis.
Furtado R, Beasley W, Falk G, Joseph D
ANZ J Surg 2015 Jun;85(6):491-2. doi: 10.1111/ans.12442. PMID: 26225391
Hepatic resection.
Ong GB, Lee NW
Br J Surg 1975 Jun;62(6):421-30. doi: 10.1002/bjs.1800620602. PMID: 167899

Therapy

Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.
Kwak BJ, Lee JH, Chin KM, Syn NL, Choi SH, Cheung TT, Chiow AKH, Sucandy I, Marino MV, Prieto M, Chong CC, Choi GH, Efanov M, Kingham TP, Sutcliffe RP, Troisi RI, Pratschke J, Wang X, D'Hondt M, Tang CN, Mishima K, Wakabayashi G, Cherqui D, Aghayan DL, Edwin B, Scatton O, Sugioka A, Long TCD, Fondevila C, Alzoubi M, Hilal MA, Ruzzenente A, Ferrero A, Herman P, Lee B, Fuks D, Cipriani F, Liu Q, Aldrighetti L, Liu R, Han HS, Goh BKP; International robotic and laparoscopic liver resection study group investigators
Surg Endosc 2023 Aug;37(8):5855-5864. Epub 2023 Apr 17 doi: 10.1007/s00464-023-10051-8. PMID: 37067594
Human Ascariasis: An Updated Review.
Leung AKC, Leung AAM, Wong AHC, Hon KL
Recent Pat Inflamm Allergy Drug Discov 2020;14(2):133-145. doi: 10.2174/1872213X14666200705235757. PMID: 32628606
Recurrent pyogenic cholangitis - an independent poor prognostic indicator for resectable intrahepatic cholangiocarcinoma: A propensity score matched analysis.
Ma KW, Cheung TT, She WH, Chok KSH, Yan Chan AC, Chiu Dai JW, Lo CM
HPB (Oxford) 2018 Nov;20(11):1067-1072. Epub 2018 Jul 14 doi: 10.1016/j.hpb.2018.05.006. PMID: 30017784
Outcome of surgery for recurrent pyogenic cholangitis: a single center experience.
Ray S, Sanyal S, Das K, Ghosh R, Das S, Khamrui S, Sarkar A, Chattopadhyyay G
HPB (Oxford) 2016 Oct;18(10):821-826. Epub 2016 Jun 28 doi: 10.1016/j.hpb.2016.06.001. PMID: 27506993Free PMC Article
Endoscopic retrograde cholangiopancreatography and endoscopic papillotomy in recurrent pyogenic cholangitis.
Choi TK, Wong J
Clin Gastroenterol 1986 Apr;15(2):393-415. PMID: 3731519

Prognosis

Hepatolithiasis: Epidemiology, presentation, classification and management of a complex disease.
Motta RV, Saffioti F, Mavroeidis VK
World J Gastroenterol 2024 Apr 7;30(13):1836-1850. doi: 10.3748/wjg.v30.i13.1836. PMID: 38659478Free PMC Article
Liver flukes: the malady neglected.
Lim JH
Korean J Radiol 2011 May-Jun;12(3):269-79. Epub 2011 Apr 25 doi: 10.3348/kjr.2011.12.3.269. PMID: 21603286Free PMC Article
Hepatolithiasis and the syndrome of recurrent pyogenic cholangitis: clinical, radiologic, and pathologic features.
Tsui WM, Chan YK, Wong CT, Lo YF, Yeung YW, Lee YW
Semin Liver Dis 2011 Feb;31(1):33-48. Epub 2011 Feb 22 doi: 10.1055/s-0031-1272833. PMID: 21344349
Mimics of cholangiocarcinoma: spectrum of disease.
Menias CO, Surabhi VR, Prasad SR, Wang HL, Narra VR, Chintapalli KN
Radiographics 2008 Jul-Aug;28(4):1115-29. doi: 10.1148/rg.284075148. PMID: 18635632
Recurrent pyogenic cholangitis.
Harris HW, Kumwenda ZL, Sheen-Chen SM, Shah A, Schecter WP
Am J Surg 1998 Jul;176(1):34-7. doi: 10.1016/s0002-9610(98)00095-6. PMID: 9683129

Clinical prediction guides

Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.
Kwak BJ, Lee JH, Chin KM, Syn NL, Choi SH, Cheung TT, Chiow AKH, Sucandy I, Marino MV, Prieto M, Chong CC, Choi GH, Efanov M, Kingham TP, Sutcliffe RP, Troisi RI, Pratschke J, Wang X, D'Hondt M, Tang CN, Mishima K, Wakabayashi G, Cherqui D, Aghayan DL, Edwin B, Scatton O, Sugioka A, Long TCD, Fondevila C, Alzoubi M, Hilal MA, Ruzzenente A, Ferrero A, Herman P, Lee B, Fuks D, Cipriani F, Liu Q, Aldrighetti L, Liu R, Han HS, Goh BKP; International robotic and laparoscopic liver resection study group investigators
Surg Endosc 2023 Aug;37(8):5855-5864. Epub 2023 Apr 17 doi: 10.1007/s00464-023-10051-8. PMID: 37067594
Human Ascariasis: An Updated Review.
Leung AKC, Leung AAM, Wong AHC, Hon KL
Recent Pat Inflamm Allergy Drug Discov 2020;14(2):133-145. doi: 10.2174/1872213X14666200705235757. PMID: 32628606
Recurrent pyogenic cholangitis - an independent poor prognostic indicator for resectable intrahepatic cholangiocarcinoma: A propensity score matched analysis.
Ma KW, Cheung TT, She WH, Chok KSH, Yan Chan AC, Chiu Dai JW, Lo CM
HPB (Oxford) 2018 Nov;20(11):1067-1072. Epub 2018 Jul 14 doi: 10.1016/j.hpb.2018.05.006. PMID: 30017784
Hepatolithiasis and the syndrome of recurrent pyogenic cholangitis: clinical, radiologic, and pathologic features.
Tsui WM, Chan YK, Wong CT, Lo YF, Yeung YW, Lee YW
Semin Liver Dis 2011 Feb;31(1):33-48. Epub 2011 Feb 22 doi: 10.1055/s-0031-1272833. PMID: 21344349
Recurrent pyogenic cholangitis: comparison between MR cholangiography and direct cholangiography.
Park MS, Yu JS, Kim KW, Kim MJ, Chung JP, Yoon SW, Chung JJ, Lee JT, Yoo HS
Radiology 2001 Sep;220(3):677-82. doi: 10.1148/radiol.2202001252. PMID: 11526266

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