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Related Concept Videos

Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

818
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

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Acute cholangitis: current concepts.

David Lan Cheong Wah1, Christopher Christophi1, Vijayaragavan Muralidharan1

  • 1Department of Hepato-Pancreatic-Biliary Surgery, Austin Hospital, Melbourne, Victoria, Australia.

ANZ Journal of Surgery
|March 25, 2017
PubMed
Summary
This summary is machine-generated.

Early diagnosis of acute cholangitis (AC), a serious biliary infection, is crucial. Prompt treatment involving fluids, antibiotics, and biliary decompression significantly reduces mortality and morbidity associated with AC.

Keywords:
acuteascendingcholangitishepatopancreaticobiliary surgery

Related Experiment Videos

Last Updated: Mar 5, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

941

Area of Science:

  • Hepatology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Acute cholangitis (AC), or ascending cholangitis, is a severe, life-threatening infection of the biliary tree.
  • Historically, severe AC had high mortality rates (11-27% in the 1990s).
  • This review synthesizes current literature on AC, covering its pathogenesis, presentation, diagnosis, prognosis, risk factors, and treatment.

Purpose of the Study:

  • To review the latest scientific literature on acute cholangitis.
  • To discuss the pathogenesis, clinical presentation, diagnosis, prognosis, risk factors, and treatment of AC.
  • To highlight the importance of early diagnosis and intervention for AC.

Main Methods:

  • Comprehensive literature search of Ovid Medline and PubMed databases.
  • Inclusion of articles on acute cholangitis published in English from 1877 to 2016.
  • Selection of articles with full-text descriptions for the review.

Main Results:

  • Biliary obstruction from choledocholithiasis or strictures are common causes of AC.
  • Diagnosis relies on clinical presentation, laboratory results, and imaging, per Tokyo Guidelines.
  • Treatment involves IV fluids, antibiotics, and biliary decompression via various drainage techniques.

Conclusions:

  • Early diagnosis of acute cholangitis is essential for effective management.
  • Timely initiation of appropriate treatments can significantly decrease AC-related mortality and morbidity.
  • Understanding AC's multifaceted aspects aids in optimizing patient outcomes.