reflux cholangitis
Introduction
Introduction to reflux cholangitis Refluxing cholangitis (also known as ascending cholangitis) is caused by retrograde infection of the bacteria in the intestines. In addition to biliary fistula, the intestinal contents of the biliary anastomosis after reflux into the biliary system are the most common causes. Oddi sphincter can also occur after sphincter incision, especially in the biliary tract with a large diameter metal stent. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: gallstones, pancreatitis
Cause
Causes of reflux cholangitis
Cause:
The disease is inflammation of the esophageal mucosa caused by dysfunction of the lower end of the esophagus, dysfunction of the stomach and/or duodenum into the esophagus.
The pathogenesis is mainly due to the weakening of the lower esophageal sphincter function. Secondary esophageal motility disorder is a factor that persists and aggravates esophagitis.
Prevention
Reflux cholangitis prevention
Prevent infections; when inflammation occurs, apply effective antibiotics in a timely manner; rationally formulate recipes, should not eat too much animal fat-containing foods, such as fatty meat and animal oil; when there are intestinal insects (mainly aphids), timely application Insect drugs should be used in sufficient amounts to prevent the use of drugs. Aphids are active and easy to drill into the biliary tract, causing obstruction and causing cholecystitis.
Complication
Complications of reflux cholangitis Complications gallstones and pancreatitis
Can be complicated by gallstones, obstructive jaundice, primary pancreatitis.
Symptom
Reflux cholangitis symptoms common symptoms right upper quadrant pain nausea and vomiting hot chill
Clinical manifestations:
1) Recurrent cholangitis, mainly with recurrent chills and high fever; generally manifested as relaxation heat, and the body temperature can reach 39~40 °C.
2) Persistent pain in the upper abdomen or upper right abdomen, rarely with colic.
3) often accompanied by severe nausea and vomiting.
4) There are few jaundices. The condition worsens with the frequency of seizures.
3) Signs: tenderness in the right upper quadrant or pain in the liver area.
Examine
Reflux cholangitis
B-ultrasound examination of gallbladder biliary tract, CT examination, upper gastrointestinal X-ray meal.
Diagnosis
Diagnosis and diagnosis of reflux cholangitis
Diagnostic check:
1. Diagnostic points
History: previous history of biliary anastomosis or Oddi sphincter incision, metal stent placement in the biliary tract.
2. Auxiliary inspection
(1) Laboratory examination: The acute inflammatory phase can be expressed as an increase in the number of white blood cells, an increase in the proportion of neutrophils, and even the appearance of poisonous particles.
(2) Imaging examination:
1) B-ultrasound and CT: There is gas in the biliary tract.
2) Upper gastrointestinal barium meal examination: Some patients with gastrointestinal contrast agent reflux to the gallbladder or bile duct, can understand the reflux and retention and the anastomotic stenosis.
3) PTC: The condition of the hepatic bile duct and anastomosis can be found, and whether there are intrahepatic bile duct stones, and biliary tract fistula can also be found.
4) MRCP: It can also provide a basis for the diagnosis of this disease. The anastomotic biliary anastomosis and biliary system variation can be observed.
