Oriental cholangitis

Richard H. Carmona, Richard A. Crass, Robert C. Lim, Donald Trunkey

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Oriental cholangitis is a poorly understood syndrome consisting of intrahepatic pigment stone formation with chronically recurrent exacerbations and remissions. Endemic to Asia, it is being encountered more frequently in the United States due to increased immigration of asians. Twenty-one patients with oriental cholangitis (9 men and 12 women), 19 to 84 years of age, all of whom immigrated from asian countries, were treated between 1970 and 1983. All had histories of episodic abdominal pain, most with jaundice, chills, and fever. Laboratory results were nonspecific but frequently included leukocytosis and hyperbilirubinemia. All patients were operated on with 15 having cholecystectomy, common duct exploration, and a bilioenteric anatomosis. E. coli was cultured from specimens obtained from the biliary tracts of all patients, and 13 patients had more than one organism. Four patients had a previous history of parasitic infection, and four different patients had parasites identified in the biliary tract intraoperatively. Early recognition and appropriate operation will decrease morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)117-124
Number of pages8
JournalThe American Journal of Surgery
Volume148
Issue number1
DOIs
StatePublished - 1984
Externally publishedYes

Fingerprint

Cholangitis
Biliary Tract
Chills
Parasitic Diseases
Hyperbilirubinemia
Leukocytosis
Emigration and Immigration
Cholecystectomy
Jaundice
Abdominal Pain
Parasites
Fever
Escherichia coli
Morbidity
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Oriental cholangitis. / Carmona, Richard H.; Crass, Richard A.; Lim, Robert C.; Trunkey, Donald.

In: The American Journal of Surgery, Vol. 148, No. 1, 1984, p. 117-124.

Research output: Contribution to journalArticle

Carmona, RH, Crass, RA, Lim, RC & Trunkey, D 1984, 'Oriental cholangitis', The American Journal of Surgery, vol. 148, no. 1, pp. 117-124. https://doi.org/10.1016/0002-9610(84)90298-8
Carmona, Richard H. ; Crass, Richard A. ; Lim, Robert C. ; Trunkey, Donald. / Oriental cholangitis. In: The American Journal of Surgery. 1984 ; Vol. 148, No. 1. pp. 117-124.
@article{c2fa79fd1d334fd1ab481beb675cc26d,
title = "Oriental cholangitis",
abstract = "Oriental cholangitis is a poorly understood syndrome consisting of intrahepatic pigment stone formation with chronically recurrent exacerbations and remissions. Endemic to Asia, it is being encountered more frequently in the United States due to increased immigration of asians. Twenty-one patients with oriental cholangitis (9 men and 12 women), 19 to 84 years of age, all of whom immigrated from asian countries, were treated between 1970 and 1983. All had histories of episodic abdominal pain, most with jaundice, chills, and fever. Laboratory results were nonspecific but frequently included leukocytosis and hyperbilirubinemia. All patients were operated on with 15 having cholecystectomy, common duct exploration, and a bilioenteric anatomosis. E. coli was cultured from specimens obtained from the biliary tracts of all patients, and 13 patients had more than one organism. Four patients had a previous history of parasitic infection, and four different patients had parasites identified in the biliary tract intraoperatively. Early recognition and appropriate operation will decrease morbidity and mortality.",
author = "Carmona, {Richard H.} and Crass, {Richard A.} and Lim, {Robert C.} and Donald Trunkey",
year = "1984",
doi = "10.1016/0002-9610(84)90298-8",
language = "English (US)",
volume = "148",
pages = "117--124",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Oriental cholangitis

AU - Carmona, Richard H.

AU - Crass, Richard A.

AU - Lim, Robert C.

AU - Trunkey, Donald

PY - 1984

Y1 - 1984

N2 - Oriental cholangitis is a poorly understood syndrome consisting of intrahepatic pigment stone formation with chronically recurrent exacerbations and remissions. Endemic to Asia, it is being encountered more frequently in the United States due to increased immigration of asians. Twenty-one patients with oriental cholangitis (9 men and 12 women), 19 to 84 years of age, all of whom immigrated from asian countries, were treated between 1970 and 1983. All had histories of episodic abdominal pain, most with jaundice, chills, and fever. Laboratory results were nonspecific but frequently included leukocytosis and hyperbilirubinemia. All patients were operated on with 15 having cholecystectomy, common duct exploration, and a bilioenteric anatomosis. E. coli was cultured from specimens obtained from the biliary tracts of all patients, and 13 patients had more than one organism. Four patients had a previous history of parasitic infection, and four different patients had parasites identified in the biliary tract intraoperatively. Early recognition and appropriate operation will decrease morbidity and mortality.

AB - Oriental cholangitis is a poorly understood syndrome consisting of intrahepatic pigment stone formation with chronically recurrent exacerbations and remissions. Endemic to Asia, it is being encountered more frequently in the United States due to increased immigration of asians. Twenty-one patients with oriental cholangitis (9 men and 12 women), 19 to 84 years of age, all of whom immigrated from asian countries, were treated between 1970 and 1983. All had histories of episodic abdominal pain, most with jaundice, chills, and fever. Laboratory results were nonspecific but frequently included leukocytosis and hyperbilirubinemia. All patients were operated on with 15 having cholecystectomy, common duct exploration, and a bilioenteric anatomosis. E. coli was cultured from specimens obtained from the biliary tracts of all patients, and 13 patients had more than one organism. Four patients had a previous history of parasitic infection, and four different patients had parasites identified in the biliary tract intraoperatively. Early recognition and appropriate operation will decrease morbidity and mortality.

UR - http://www.scopus.com/inward/record.url?scp=0021249171&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021249171&partnerID=8YFLogxK

U2 - 10.1016/0002-9610(84)90298-8

DO - 10.1016/0002-9610(84)90298-8

M3 - Article

C2 - 6377937

AN - SCOPUS:0021249171

VL - 148

SP - 117

EP - 124

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 1

ER -