SINGLE-SESSION MANAGEMENT OF ASCENDING CHOLANGITIS wanisya92@gmail.com

PE001

SINGLE-SESSION MANAGEMENT OF ASCENDING CHOLANGITIS

3

 

 

 

 

Malaysia

Poster Exhibition only

Ascending cholangitis, a potentially life-threatening condition, arises primarily from bacterial infections secondary to common bile duct (CBD) obstruction often associated with gallbladder stones. Traditional management typically involves a two-stage approach: initial urgent decompression via endoscopic retrograde cholangiopancreatography (ERCP), followed by a delayed cholecystectomy post-infection resolution. This staged approach, however, is linked with increased risks of recurrent biliary complications such as choledocholithiasis and subsequent cholangitis episodes.

This case series explores the feasibility, safety, and clinical outcomes of a single-session approach combining laparoscopic cholecystectomy with ERCP for CBD clearance in a cohort of ten patients

Our findings highlight the benefits of this integrated approach, including shortened hospital stays, fewer procedural interventions, and minimal complications, suggesting a potential shift in the standard care protocol for managing ascending cholangitis.

The single-session management not only mitigates the risk of recurrent biliary events but also streamlines patient care, thereby presenting a compelling alternative to the conventional two-stage management of this serious condition.