Ascending cholangitis: Difference between revisions

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=== Cholecystectomy ===
Not all gallstones implicated in ascending cholangitis actually originate from the gallbladder, but [[cholecystectomy]] (surgical removal of the gallbladder) is generally recommended in people who have been treated for cholangitis due to gallstone disease. This is typically delayed until all symptoms have resolved and ERCP or MRCP have confirmed that the bile duct is clear of gallstones.<ref name=Kinney/><ref name=schwartz/><ref name=Williams/> Those who do not undergo cholecystectomy have an increased risk of recurrent biliary pain, jaundice, further episodes of cholangitis, and need for further ERCP or cholecystostomy; the risk of death is also significantly increased.<ref>{{cite journal |vauthors=McAlister VC, Davenport E, Renouf E |title=Cholecystectomy deferral in patients with endoscopic sphincterotomy |journal=Cochrane Database Syst Rev |volume= |issue=4 |pages=CD006233 |year=2007 |pmid=17943900 |doi=10.1002/14651858.CD006233.pub2 |url=http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006233/frame.html |archive-url=https://archive.today/20120716160957/http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006233/frame.html |dead-url-status=yesdead |archive-date=2012-07-16 |editor1-last=McAlister |editor1-first=Vivian }}</ref>
 
==Prognosis==