+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Childhood recurrent pyogenic cholangitis

Childhood recurrent pyogenic cholangitis

Journal of Pediatric Surgery 23(5): 424-429

Recurrent pyogenic cholangitis (RPC) is characterized by repeated attacks of bacterial infection of the biliary tract by enteric organisms resulting in formation of strictures and stones in the intrahepatic as well as the extrahepatic bile ducts. Between 1973 and 1984, we managed ten children with RPC. Presentation was acute, septicemia being invariably present. Four children responded to vigorous intravenous (IV) fluid and antibiotic therapy; of these, three subsequently required elective transduodenal sphincteroplasty. Six children required emergency biliary tract decompression surgically and three of them also had concomitant definitive drainage procedures (transduodenal sphincteroplasty, two; supraduodenal choledochoduodenostomy, one). The other three had T-tube drainage initially followed by elective drainage procedures (transduodenal sphincteroplasty, one; supraduodenal choledochoduodenostomy, two). At exploration, pigment stones and/or mud were invariably present in the bile ducts. One child required reexploration for hemostasis following sphincteroplasty, and one child died from septicemia and respiratory failure following operation. The rest are well, having been followed for 3 to 12 years. Major advances in recent years include (1) endoscopic retrograde cholangiopancreatography (ERCP) for accurate definition of the biliary tract and confirmation of the presence and location of stones during the quiescent phase, (2) the intraoperative choledochoscopic extraction of intrahepatic and extrahepatic stones, and (3) postoperative stone removal via the T-tube tract.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 039535963

Download citation: RISBibTeXText

PMID: 3379549

DOI: 10.1016/s0022-3468(88)80440-8

Related references

Is pyogenic liver abscess associated with recurrent pyogenic cholangitis a distinct clinical entity? A retrospective analysis over a 10-year period in a regional hospital. European Journal of Gastroenterology and Hepatology 23(9): 770-777, 2011

Recurrent Pyogenic Cholangitis. Current Treatment Options in Gastroenterology 7(2): 91-98, 2004

Recurrent pyogenic cholangitis. Digestive Diseases and Sciences 55(1): 8-10, 2010

Recurrent pyogenic cholangitis. Progress in Clinical and Biological Research 152: 175-192, 1984

Recurrent Pyogenic Cholangitis. Digestive Surgery 3(4): 265-275, 1986

Recurrent Pyogenic Cholangitis. Ultrasound Quarterly 14(1): 41-47, 1998

Recurrent pyogenic cholangitis. Anz Journal of Surgery 85(6): 491-492, 2015

Recurrent Pyogenic Cholangitis: Got Stones?. Digestive Diseases and Sciences 61(11): 3147-3150, 2015

A case of recurrent pyogenic cholangitis. Digestive and Liver Disease 40(5): 386, 2007

A study of recurrent pyogenic cholangitis. Archives of Surgery 84: 199-225, 1962

Cholangiography in recurrent pyogenic cholangitis. Journal of the Hong Kong Medical Association 40(2): 97-99, 1988

Cholelithiasis & recurrent pyogenic cholangitis. Xianggang Hu Li Za Zhi. Hong Kong Nursing Journal: 5-11, 1981

Recurrent pyogenic cholangitis in children. Australian and New Zealand Journal of Surgery 44(1): 53-56, 1974

Recurrent pyogenic cholangitis: an update. Tropical Gastroenterology 6(3): 119-131, 1985

The changing epidemiology of recurrent pyogenic cholangitis. Hong Kong Medical Journal 3(3): 302-304, 2002