Colangitis

TG13: Updated Tokyo Guide lines for acute cholangitisand

acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
Tomado de: Bile Duct Strictures. R Brugge et
al
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
Triada de Charcot: Baja S (26,4%), alta
E (95,9). 26-72% de todos los
pacientes.

TG13: Updated Tokyo Guide lines for acute cholangitisand

acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
 TGO Y TGP

TG13: Updated Tokyo Guide lines for acute cholangitisand

acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
6. Disfunción Hematológica.
7.Trastorno de la conciencia.
8. Indice Kirby < 300
9. Oliguria, Creatinina > 2 mg/dl
10. PT/INR > 1,5
11. Conteo plaquetario: < 100
000.
12.hipotensión refractaria a
medicamentos.
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
Grado I (Colecistitis o Colangitis): Cefotaxim + Metronidazol.
 1 día de AB post Colecistectomía
 Perforación, enfisematosa, 2-7 días post
colecistectomía. (Colecistitis). Colangitis: 4-7 días,
bacteremia Gram + 2 semanas.

 Grado II (Colecistitis o Colangitis): Cefepime, ceftazidima +

metronizaol o Piperacilina tazobactan. 4-7 días, bacteremia Gram + 2
semanas.
 Grado III (Colecistitis o Colangitis): Cefepime, ceftazidima +
metronizaol, Piperacilna/tazobactan.
 4-7 días, bacteremia Gram + 2 semanas.
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
TG13: Updated Tokyo Guide lines for acute cholangitisand
acute cholecystitis.
J Hepatobiliary Pancreat
ECOGRAFIA

COLANGIOPANCREATOGRAFIA RETRÓGRADA ENDOSCÓPICA

TG13: Updated Tokyo Guide lines for acute cholangitisand

acute cholecystitis.
J Hepatobiliary Pancreat
Gracias