recent articles

practice updates

Cholangitis: Pearls & Pitfalls

Cholangitis is a potentially deadly disease. Before procedures including ERCP, mortality reached 100%. Rapid recognition and treatment are essential, which can decrease mortality to less than 10%. This post discusses updates in evaluation and management of the patient with cholangitis.

practice updates

Cholangitis: Deadly Cause of Right Upper Quadrant Abdominal Pain

Cholangitis should be considered in patients with undifferentiated sepsis. Ruling in or out the diagnosis of cholangitis is no longer based on clinical exam alone. The addition of imaging and bloodwork to the clinical exam are much more reliable. Resuscitation, antibiotics and consultation for early biliary decompression are the mainstays of cholangitis treatment.

clinical cases

Mystery Bleed (M&M)

We're grateful to Mathew Miskimon, MD PhD for providing this morbidity and mortality (and improvement!) case from Janus General. Includes a nice discussion at the end on the systemic factors contributing to the outcome.