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Related Experiment Videos

Oriental cholangitis.

R H Carmona, R A Crass, R C Lim

    American Journal of Surgery
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Oriental cholangitis, a liver condition causing pigment stones, is increasingly seen in the US due to Asian immigration. Prompt surgical intervention is key to reducing complications and mortality from this recurrent biliary disease.

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    Area of Science:

    • Hepatology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Oriental cholangitis is a poorly understood syndrome characterized by intrahepatic pigment stones and recurrent biliary exacerbations.
    • This condition is endemic to Asia but increasingly diagnosed in the United States due to immigration.
    • The syndrome presents with episodic abdominal pain, jaundice, chills, and fever.

    Purpose of the Study:

    • To describe the clinical characteristics, treatment, and outcomes of Oriental cholangitis.
    • To highlight the increasing prevalence in the United States.
    • To emphasize the importance of early recognition and surgical management.

    Main Methods:

    • Retrospective analysis of 21 patients diagnosed with Oriental cholangitis between 1970 and 1983.

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  • All patients were immigrants from Asian countries.
  • Surgical intervention, including cholecystectomy, common duct exploration, and bilioenteric anastomosis, was performed on all patients.

    • Main Results:

    • Escherichia coli was the most common bacterial isolate from biliary tract specimens.
    • 13 patients had polymicrobial infections.
    • Parasitic infections were identified in 4 patients preoperatively and 4 intraoperatively.
    • 15 patients underwent cholecystectomy, common duct exploration, and bilioenteric anastomosis.

    Conclusions:

    • Oriental cholangitis requires early recognition and appropriate surgical management.
    • Surgical intervention can decrease morbidity and mortality associated with this condition.
    • Bacterial and parasitic infections play a role in the pathogenesis and recurrence of Oriental cholangitis.