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Updated: Jun 24, 2025

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Part 2: Current Concepts in Radiologic Imaging & Intervention in Acute Biliary Tract Diseases.

Easton Neitzel1, Owais Salahudeen1, Peter R Mueller2

  • 1University of Arizona College of Medicine - Phoenix, Phoenix, AZ, United States.

Journal of Intensive Care Medicine
|June 5, 2024
PubMed
Summary
This summary is machine-generated.

This review focuses on imaging and interventional radiology for acute cholangitis in critically ill patients. It covers common and rare causes, emphasizing multidisciplinary care for conditions like sclerosing cholangitis.

Keywords:
biliary drainagecholangitisrecurrent pyogenic cholangitissclerosing cholangitistranshepatic cholangiography

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Area of Science:

  • Gastroenterology and Hepatology
  • Radiology
  • Critical Care Medicine

Background:

  • Acute cholangitis is common in critically ill, elderly patients.
  • Common causes include choledocholithiasis, biliary strictures, and post-intervention infections.
  • Rare causes include sclerosing cholangitis and recurrent pyogenic cholangitis.

Purpose of the Study:

  • To review imaging findings and interventional radiologic management of acute cholangitis in critically ill patients.
  • To discuss primary and secondary sclerosing cholangitis, and recurrent pyogenic cholangitis.
  • To provide a resource for intensivists managing these complex biliary tract conditions.

Main Methods:

  • Review of imaging findings (e.g., ultrasound, CT, MRI, cholangiography).
  • Discussion of interventional radiologic procedures (e.g., biliary drainage, stenting).
  • Emphasis on multidisciplinary team involvement.

Main Results:

  • Imaging is crucial for diagnosing cholangitis and identifying underlying causes.
  • Interventional radiology offers effective minimally invasive treatment options.
  • Timely diagnosis and management improve patient outcomes.

Conclusions:

  • Multidisciplinary management is essential for critically ill patients with acute cholangitis.
  • Radiologic interventions play a key role in managing biliary obstruction and infection.
  • Understanding imaging and interventional techniques is vital for intensivists.