Management Algorithm for Patients with Acute Cholangitis - Flowchart

Management Algorithm for Patients with Acute Cholangitis - Flowchart

Management Algorithm for Patients with Acute Cholangitis - Flowchart Cholangitis Cholangitis

«Flowchart»

Acute cholangitis

Acute cholangitis

Acute cholangitis

Acute cholangitis

Open drain or relieve stent obstruction

Open drain or relieve stent obstruction

Open drain or relieve stent obstruction

Fluid resuscitation, parenteral antibiotic therapy, close monitoring

Fluid resuscitation, parenteral antibiotic therapy, close monitoring

Fluid resuscitation, parenteral antibiotic therapy, close monitoring

Indwelling biliary stent / drain

Indwelling biliary stent / drain

Indwelling biliary stent / drain

No indwelling biliary stent / drain

No indwelling biliary stent / drain

No indwelling biliary stent / drain

End

End

End

End organ dysfunction

End organ dysfunction

End organ dysfunction

No end organ dysfunction

No end organ dysfunction

No end organ dysfunction

Urgent biliary drainage

Urgent biliary drainage

Urgent biliary drainage

Definitive management

Definitive management

Definitive management

Biliary drainage

Biliary drainage

Biliary drainage

Unsatisfactory response or deterioration within 12-24 hrs

Unsatisfactory response or deterioration within 12-24 hrs

Unsatisfactory response or deterioration within 12-24 hrs

Satisfactory response to antibiotics and supportive measures

Satisfactory response to antibiotics and supportive measures

Satisfactory response to antibiotics and supportive measures

ERCP

ERCP

ERCP

Biliary drainage achieved

Biliary drainage achieved

Biliary drainage achieved

Failure

Failure

Failure

Distal obstruction

Distal obstruction

Distal obstruction

Proximal obstruction

Proximal obstruction

Proximal obstruction

Surgical drainage

Surgical drainage

Surgical drainage

PTC

PTC

PTC

Failure

Failure

Failure

Biliary drainage achieved

Biliary drainage achieved

Biliary drainage achieved