ASGE guideline on the management of cholangitis

ASGE guideline on the management of cholangitis GASTROINTESTINAL ENDOSCOPY Buxbaum, J. L., Buitrago, C., Lee, A., Elmunzer, B., Riaz, A., Ceppa, E. P., Al-Haddad, M., Amateau, S. K., Calderwood, A. H., Fishman, D. S., Fujii-Lau, L. L., Jamil, L. H., Jue, T. L., Kwon, R. S., Law, J. K., Lee, J. K., Naveed, M., Pawa, S., Sawhney, M. S., Schilperoort, H., Storm, A. C., Thosani, N. C., Qumseya, B. J., Wani, S. 2021; 94 (2): 207-+

Abstract

Cholangitis is a GI emergency requiring prompt recognition and treatment. The purpose of this document from the American Society for Gastrointestinal Endoscopy's (ASGE) Standards of Practice Committee is to provide an evidence-based approach for management of cholangitis. This document addresses the modality of drainage (endoscopic vs percutaneous), timing of intervention (<48 hours vs >48 hours), and extent of initial intervention (comprehensive therapy vs decompression alone). Grading of Recommendations, Assessment, Development, and Evaluation methodology was used to formulate recommendations on these topics. The ASGE suggests endoscopic rather than percutaneous drainage and biliary decompression within 48 hours. Additionally, the panel suggests that sphincterotomy and stone removal be combined with drainage rather than decompression alone, unless patients are too unstable to tolerate more extensive endoscopic treatment.

View details for DOI 10.1016/j.gie.2020.12.032

View details for Web of Science ID 000672795700001

View details for PubMedID 34023065