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: From "Diagnosis", "Blood tests": "In the early stages, however, pressure on the liver cells may be the main feature and the tests will resemble those in hepatitis, with elevations in alanine transaminase and aspartate transaminase." Is this really true? I'm reading "Oxford Textbook of Clinical Hepatology" and there's no mention of this. Unfortunately my hospital library doesn't stock "Gastrointestinal clinics of North America". [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:25, 2 July 2008 (UTC)
::{{done}} Kinney sources it to {{PMID
: From "Diagnosis", "Medical imaging": "Compared to ERCP (see below), this modality may show dilation of the bile duct and identifies 38% of bile duct stones; it is relatively poor at identifying stones further down the bile duct." This sentence is rather awkward and should be split.The first part of the sentence: "Compared to ERCP, this modality may show dilation..." doesn't really make sense. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:51, 2 July 2008 (UTC)
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::{{not done}} Could I leave this to you, Axl? I'm not sure what degree of emphasis you'd like. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)
::: Yes, I'll work on it this evening. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:21, 3 July 2008 (UTC)
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::{{not done}} The intention was not to reproduce the classical definition of SIRS. Do you think we should follow that definition? [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)
::: As it currently stands, the sentence is misleading. Either use the correct definition, or don't try to define it at all (the link provides assistance for unfamiliar readers). [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:32, 3 July 2008 (UTC)
::{{done}} Sorted. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 16:37, 3 July 2008 (UTC)
: The caption for the picture in "Medical imaging" mentions a "nasobiliary drain". I can guess what this means, although I've never heard of it before. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 21:01, 2 July 2008 (UTC)
::Kinney mentions it, and several other sources (e.g. {{PMID
::: As a stand-alone picture, many non-medical readers would not understand the meaning. It is only later in the article that "nasobiliary drain" is properly described. I'm hoping for a wikilink (to a stub) to assist unfamiliar readers. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:38, 3 July 2008 (UTC)
::::I'm not entirely sure if an article is needed for this. Couldn't the caption simply refer to the text? [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 18:24, 3 July 2008 (UTC)
: From "Treatment", "Endoscopy": "PTC is not without complications" What complications? [Cholangitis is one.] [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 21:15, 2 July 2008 (UTC)
::{{not done}} Kinney gives an 80% morbidity and 15% mortality, but doesn't give a breakdown of exact complications (such as perforation/biliary peritonitis). I think given that need for PTC is relatively unusual, this should be spun out on the PTC page rather than here. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)
::: Okay, but I've changed the language in the sentence. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:34, 3 July 2008 (UTC)
: From "Treatment", "Endoscopy": "Continual contamination of bile duct by indwelling stents (as may occur in chronic conditions like tumor of the head of pancreas) requires monitoring by repeated radiologic tests and changing of the stents." There should be more information about stents and the need/timing of repeat tests and stent changes. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 21:17, 2 July 2008 (UTC)
::{{not done}} Perhaps that content belongs on the article about stents rather than here. Apart from cholangitis, there are numerous other considerations that are best dealt with in the relevant article IMHO. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)
::: Not critical for "Good article" status, but should be a consideration for future improvement. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:40, 3 July 2008 (UTC)
: From "Prognosis": "Reported mortality rates for acute cholangitis vary between 2.5% to 65%." That's a massive range. The reference indicates the range 10-30%. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 21:22, 2 July 2008 (UTC)
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::{{doing}} Will try to sort this out. I'm really not sure what the point is in using ''last'' and ''first''. Could you clarify? [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)
::: Reference 2 (Schwartz) uses ''last'' and ''first''. The reference that I added (Sung) also has ''last'' and ''first'', but I would be happy to change this to the predominant style. I'm not insisting that ''last'' and ''first'' should be used. Rather the style should be consistent throughout the references. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:24, 3 July 2008 (UTC)
::{{Done}} Sorry, makes sense. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 16:36, 3 July 2008 (UTC)
=== GA pass ===
I have passed [[Ascending cholangitis]] for "Good article" status. It is well-written, accurate, neutral, stable and well-illustrated.
Notes for future improvement: -
: A wikilink from "nasobiliary drain" in the image at the top of the "Diagnosis", "Medical imaging" section.
: A couple of one-sentence paragraphs should be expanded: at the end of "Treatment" and "Endoscopy" sections.
: The main reference is "Gastrointestinal endoscopy clinics of North America". This has low impact factor and is not the most easily accessible source. I'm sure that many of those references could be changed to more reliable and accessible sources.
[[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:51, 3 July 2008 (UTC)
:Thanks Axl. With regards to the source I was actually surprised that there were no good reviews available on cholangitis. Kinney's article is quite rigorous, and all other recent reviews have appeared in similar journals. Thankfully we had Tokyo2007 and the recent BSG guideline to supplement the content. [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 21:03, 3 July 2008 (UTC)
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