History of cholangitis
This
disease has been recognized since 1877 when Charcot gave the first
description, by relating the triad of symptoms involving:
* Pain in the right hypochondrium;
* Fever with chills;
* And jaundice.
In 1903, after Rogers noted in autopsy studies, the relationship between suppurative cholangitis, obstruction of the bile ducts and liver abscesses, tried for the first time, but without success surgical decompression of the common bile duct (VBP ) in apatient who presented with acute obstructive suppurative.
In 1940: CUTLER and ZOLLINGER: insisted on the need for early surgical intervention.
In 1945: GRANT reported 03 cases of acute suppurative cholangitis secondary to gallstone obstruction of the bile duct. The patients survived after decompressionVBP, the same year created the concept of CAROLI urémigène cholangitis.
In 1947: COLE described cases of suppurative cholangitis of the bile duct obstruction related calculations, a cancer of the head of the pancreas and stenosis.
In 1959, Carol and ANDRE clarify the concept of cholangitis urémigène emphasizing the need for anatomical and clinical correlation: Triad Charcot and obstacle on the VBP
- On the same date the United States Reynolds and Dargan individualize the complicated Hyper-acute septic characterized: The clinical signs by type of nervous confusion, lethargy and the onset of septic shock.Purulent bile under pressure in the presence of complete obstruction of the bile duct They entitle this form of "acute obstructive cholangitis."
- Thereafter the term used by English-speaking authors to refer to these forms is the hyper-tank "of acute obstructive suppurative cholangitis"
- Since the first description of surgical treatment by Rogers in 1903 until 1969 and few publications are found in the literature.
- In recent years, despite the persistence of poorly understood aspects in the pathogenesis, some progress has been made in understanding this disease in the field of diagnostics and therapeutics:
- In the diagnosis we must mention the contribution of some interesting new techniques to opacification of the biliary tract (VB) and especially the contribution of ultrasound in the exploration of the liver and VB in an emergency.
- From the therapeutic (treatment), greater control of preoperative resuscitation (eg hemodialysis), facilitated by the use of new antibiotics more effective over-bladder infection represents the single most interesting. Their goal is to facilitate the surgery.
* Pain in the right hypochondrium;
* Fever with chills;
* And jaundice.
In 1903, after Rogers noted in autopsy studies, the relationship between suppurative cholangitis, obstruction of the bile ducts and liver abscesses, tried for the first time, but without success surgical decompression of the common bile duct (VBP ) in apatient who presented with acute obstructive suppurative.
In 1940: CUTLER and ZOLLINGER: insisted on the need for early surgical intervention.
In 1945: GRANT reported 03 cases of acute suppurative cholangitis secondary to gallstone obstruction of the bile duct. The patients survived after decompressionVBP, the same year created the concept of CAROLI urémigène cholangitis.
In 1947: COLE described cases of suppurative cholangitis of the bile duct obstruction related calculations, a cancer of the head of the pancreas and stenosis.
In 1959, Carol and ANDRE clarify the concept of cholangitis urémigène emphasizing the need for anatomical and clinical correlation: Triad Charcot and obstacle on the VBP
- On the same date the United States Reynolds and Dargan individualize the complicated Hyper-acute septic characterized: The clinical signs by type of nervous confusion, lethargy and the onset of septic shock.Purulent bile under pressure in the presence of complete obstruction of the bile duct They entitle this form of "acute obstructive cholangitis."
- Thereafter the term used by English-speaking authors to refer to these forms is the hyper-tank "of acute obstructive suppurative cholangitis"
- Since the first description of surgical treatment by Rogers in 1903 until 1969 and few publications are found in the literature.
- In recent years, despite the persistence of poorly understood aspects in the pathogenesis, some progress has been made in understanding this disease in the field of diagnostics and therapeutics:
- In the diagnosis we must mention the contribution of some interesting new techniques to opacification of the biliary tract (VB) and especially the contribution of ultrasound in the exploration of the liver and VB in an emergency.
- From the therapeutic (treatment), greater control of preoperative resuscitation (eg hemodialysis), facilitated by the use of new antibiotics more effective over-bladder infection represents the single most interesting. Their goal is to facilitate the surgery.
08:20
|
|
This entry was posted on 08:20
You can follow any responses to this entry through
the RSS 2.0 feed.
You can leave a response,
or trackback from your own site.
Inscription à :
Publier les commentaires (Atom)
0 commentaires:
Enregistrer un commentaire