Towards a 'step-up approach' for the treatment of recurrent non-stenotic cholangitis after hepaticojejunostomy: systematic review.

Alessandro BonomiAnouk G OverdevestOlivier R BuschGeert KazemierBabs M ZonderhuisJoris I ErdmannPiergiorgio DanelliRoy L J van WanrooijRobert C VerdonkMarc G BesselinkRogier P Voermans

Published in: HPB : the official journal of the International Hepato Pancreato Biliary Association (2024)

A 'step-up approach' may be effective in two-thirds of patients with recurrent NSC after HJ, starting with short-course antibiotics, and eventually adding prolonged antibiotic therapy and, ultimately, surgery aimed at preventing intestinal content and food reflux. Prospective studies are needed.

Keyphrases

systematic review
minimally invasive
meta analyses
coronary artery bypass
randomized controlled trial
surgical site infection
acute coronary syndrome
cell therapy
ulcerative colitis