Learn About Cholangitis

What is the definition of Cholangitis?

Cholangitis is an infection of the bile ducts, the tubes that carry bile from the liver to the gallbladder and intestines. Bile is a liquid made by the liver that helps digest food.

What are the causes of Cholangitis?

Cholangitis is most often caused by bacteria. This can occur when the duct is blocked by something, such as a gallstone or tumor. The infection causing this condition may also spread to the liver.

Risk factors include a previous history of gallstones, sclerosing cholangitis, HIV, narrowing of the common bile duct, and rarely, travel to countries where you might catch a worm or parasite infection.

What are the symptoms of Cholangitis?

The following symptoms may occur:

  • Pain on the upper right side or upper middle part of the abdomen. It may also be felt in the back or below the right shoulder blade. The pain may come and go and feel sharp, cramp-like, or dull.
  • Fever and chills.
  • Dark urine and clay-colored or pale stools.
  • Nausea and vomiting.
  • Yellowing of the skin (jaundice), which may come and go.
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What are the current treatments for Cholangitis?

Quick diagnosis and treatment are very important.

Antibiotics to cure infection are the first treatment done in most cases. ERCP or other surgical procedure is done when the person is stable. ERCP will drain the infection, which is usually needed along with antibiotics.

People who are very ill or are quickly getting worse may need surgery right away.

Who are the top Cholangitis Local Doctors?
Experienced in Cholangitis
Gastroenterology
Experienced in Cholangitis
Gastroenterology

Charleston Area Medical Center Inc

2930 Chesterfield Ave, 
Charleston, WV 
 (1.9 mi)
Experience:
17+ years
Languages Spoken:
English

Harleen Chela is a Gastroenterologist in Charleston, West Virginia. Dr. Chela has been practicing medicine for over 17 years and is rated as an Experienced provider by MediFind in the treatment of Cholangitis. Her top areas of expertise are Gastrointestinal Bleeding, Esophageal Varices, Esophagitis, Endoscopy, and Colonoscopy.

Experienced in Cholangitis
Internal Medicine
Experienced in Cholangitis
Internal Medicine

Charleston Area Medical Center Inc

3100 Maccorkle Ave Se, Suite 205, 
Charleston, WV 
 (2.1 mi)
Experience:
5+ years
Languages Spoken:
English

Mark Ayoub is an Internal Medicine provider in Charleston, West Virginia. Dr. Ayoub has been practicing medicine for over 5 years and is rated as an Experienced provider by MediFind in the treatment of Cholangitis. His top areas of expertise are Jaundice, Ascites, Pernicious Anemia, Gallbladder Removal, and Endoscopy.

 
 
 
 
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Experienced in Cholangitis
Gastroenterology
Experienced in Cholangitis
Gastroenterology

Ths Physician Partners Inc

4605 Maccorkle Ave Sw, 
South Charleston, WV 
 (5.1 mi)
Languages Spoken:
English

Gorman Reynolds is a Gastroenterologist in South Charleston, West Virginia. Dr. Reynolds and is rated as an Experienced provider by MediFind in the treatment of Cholangitis. His top areas of expertise are Crohn's Disease, Diarrhea, Trichohepatoenteric Syndrome, Gastrectomy, and Endoscopy.

What is the outlook (prognosis) for Cholangitis?

The outcome is very often good with treatment, but poor without it.

What are the possible complications of Cholangitis?

Complications may include:

  • Sepsis
When should I contact a medical professional for Cholangitis?

Contact your health care provider if you have symptoms of cholangitis.

How do I prevent Cholangitis?

Treatment of gallstones, tumors, and infestations of parasites may reduce the risk for some people. A metal or plastic stent that is placed in the bile system may be needed to prevent the infection from returning.

What are the latest Cholangitis Clinical Trials?
Data Collection to Design and Validate LEOPARD Predictive Models of Delisting in Liver Transplant Candidates

Objective: The scientific justification of the LEOPARD TVDCS is therefore to collect a large set of data in liver transplantation candidates listed in Europe a) to design and b) to validate LEOPARD 2nd generation AI-based predictive models of mortality/dropout The primary objective is to develop new predictive models of mortality/drop out on the waitlist in patients with decompensated cirrhosis, or other end...

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Who are the sources who wrote this article ?

Published Date: June 11, 2024
Published By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Fogel EL, Sherman S. Diseases of the gallbladder and bile ducts. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 141.

Sifri CD, Madoff LC. Infections of the liver and biliary system (liver abscess, cholangitis, cholecystitis). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 75.