Management of Cholangitis

Publication Date: August 1, 2021
Last Updated: March 14, 2022

Recommendations

For patients with cholangitis, we suggest ERCP over PTBD. ( Very Low , Conditional (weak) )
612
For patients with cholangitis, we suggest the performance of ERCP in ≤48 hours compared with >48 hours. ( Very Low , Conditional (weak) )
612
For patients with cholangitis, we suggest that biliary drainage be combined with other maneuvers such as sphincterotomy and stone removal versus stent placement without attempted stone removal. ( Low , Conditional (weak) )
612

Recommendation Grading

Overview

Title

Management of Cholangitis

Authoring Organization

Publication Month/Year

August 1, 2021

Last Updated Month/Year

July 14, 2023

Document Type

Guideline

Country of Publication

US

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Emergency care, Hospital, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Treatment, Management

Diseases/Conditions (MeSH)

D002761 - Cholangitis

Keywords

endoscopy, gastrointestinal endoscopy, cholangitis

Source Citation

Buxbaum JL, Buitrago C, Lee A, Elmunzer BJ, Riaz A, Ceppa EP, Al-Haddad M, Amateau SK, Calderwood AH, Fishman DS, Fujii-Lau LL, Jamil LH, Jue TL, Kwon RS, Law JK, Lee JK, Naveed M, Pawa S, Sawhney MS, Schilperoort H, Storm AC, Thosani NC, Qumseya BJ, Wani S. ASGE guideline on the management of cholangitis. Gastrointest Endosc. 2021 Aug;94(2):207-221.e14. doi: 10.1016/j.gie.2020.12.032. Epub 2021 May 20. PMID: 34023065.