Ischemic Cholangiopathy

Under ischemic cholangiopathy is meant a focal injury to the bile duct epithelium due to insufficient blood flow of the hepatic artery in the peribiliary Arterienplexus.

(See also Overview of vascular diseases of the liver.)

Under ischemic cholangiopathy is meant a focal injury to the bile duct epithelium due to insufficient blood flow of the hepatic artery in the peribiliary Arterienplexus. (See also Overview of vascular diseases of the liver.) Common causes of the development of ischemic cholangiopathy are vascular injury during orthotopic liver transplantation or laparoscopic cholecystectomy transplant rejection damage chemoembolization Radiotherapy thrombosis as a result of Hyperkoagulabilitätsstörungen The result is a bile duct injury (ischemic necrosis) with consecutive cholestasis, cholangitis or biliary strictures (often more). Ischemic cholangiopathy usually occurs in people who had a liver transplant. Symptoms (eg. As itching, dark urine, pale stools) and lab results and imaging studies may indicate cholestasis. Diagnostic magnetic resonance cholangiopancreatography, ERCP, or both, the diagnosis may be suspected if at-risk patients, especially after liver transplantation, cholestasis occurs. The ultrasound examination is among the imaging methods of choice for the diagnosis of cholestasis, but in most patients is also a magnetic resonance cholangiopancreatography, ERCP, or both needed to rule out other causes such as cholelithiasis or biliary tract cancer (Imaging tests of the liver and gall bladder). In therapy rejection, the treatment of rejection and possibly a re-transplantation. Biliary strictures, balloon angioplasty and stent implantation. The treatment depends on the particular cause. After liver transplantation, the therapy involves the treatment of rejection and possibly a re-transplantation. Biliary strictures often require endoscopic balloon and / or stent implantation.

Health Life Media Team

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