Introduction
The activity of a general surgeon is dominated by biliary surgery.
Indeed, several studies around the world can show that 25% of surgical procedures in hospitals are interventions for cholelithiasis.
On the other hand prevalence of gallstones as it represents the most common cause of cholangitis is estimated between 15 and 25% of the adult population.
And biliary disease and cholangitis is an exact cause of death, bed occupancy in hospitals and increased cost of health.
Indeed, cholangitis is a complication of biliary pathology especially in its lithiasis requires a multidisciplinary approach (medical and surgical) to be specific and adapted.Interest of the question ...
The interest we pay to this condition is based on the frequency of cholangitis and its severity as represented by the high mortality rate.
On the other hand, the concept of cholangitis, which highlights the conditions of their bile purely surgical field and opens the door to an area where several medical and surgical clinical features, therapeutic and even biological entangled.
Indeed, if the surgical indication of cholangitis is unambiguous, the time of surgery remains a subject of discussion, and the patients are operated within variable for hospitalization for the immediate emergency and up to several weeks urgency delayed.
For these reasons we thought it useful to conduct a retrospective study at the University Hospital of Annaba (Algeria) on the cholangitis, an approach for both diagnostic andtherapeutics.
This study will, we hope to contribute to better management of cholangitis at the University Hospital of AnnabaThe cholangitis
("Angioedema" from the Greek meaning aggeion: vessel or conduit, "chol (e) -" from the Greek meaning khol: ball and the suffix "-itis" from the Greek itis used to describe inflammation)[25] is literally an inflammation of the bile ducts.
In practice the term cholangitis is used to denote a clinical syndrome which in its typical form of acute gallstone cholangitis, an associate of the right upper quadrant pain, fever and jaundice. It reflects an infection of the bile and an acute inflammatory condition of the walls of the bile ducts.
But the definition of cholangitis varies among schools:
Indeed, the French school prefers the definition of the bacterial disease, describing and cholangitis as an acute bacterial infection of the bile ducts inside and outside the liver, gall bladder excluded. So they opt for the concept of barrier-free cholangitis
In contrast, the Anglo-Saxon defined as an infection of the bile necessarily associated with a gallstone obstruction of the bile ducts in 90% of cases.
Indeed, several studies around the world can show that 25% of surgical procedures in hospitals are interventions for cholelithiasis.
On the other hand prevalence of gallstones as it represents the most common cause of cholangitis is estimated between 15 and 25% of the adult population.
And biliary disease and cholangitis is an exact cause of death, bed occupancy in hospitals and increased cost of health.
Indeed, cholangitis is a complication of biliary pathology especially in its lithiasis requires a multidisciplinary approach (medical and surgical) to be specific and adapted.Interest of the question ...
The interest we pay to this condition is based on the frequency of cholangitis and its severity as represented by the high mortality rate.
On the other hand, the concept of cholangitis, which highlights the conditions of their bile purely surgical field and opens the door to an area where several medical and surgical clinical features, therapeutic and even biological entangled.
Indeed, if the surgical indication of cholangitis is unambiguous, the time of surgery remains a subject of discussion, and the patients are operated within variable for hospitalization for the immediate emergency and up to several weeks urgency delayed.
For these reasons we thought it useful to conduct a retrospective study at the University Hospital of Annaba (Algeria) on the cholangitis, an approach for both diagnostic andtherapeutics.
This study will, we hope to contribute to better management of cholangitis at the University Hospital of AnnabaThe cholangitis
("Angioedema" from the Greek meaning aggeion: vessel or conduit, "chol (e) -" from the Greek meaning khol: ball and the suffix "-itis" from the Greek itis used to describe inflammation)[25] is literally an inflammation of the bile ducts.
In practice the term cholangitis is used to denote a clinical syndrome which in its typical form of acute gallstone cholangitis, an associate of the right upper quadrant pain, fever and jaundice. It reflects an infection of the bile and an acute inflammatory condition of the walls of the bile ducts.
But the definition of cholangitis varies among schools:
Indeed, the French school prefers the definition of the bacterial disease, describing and cholangitis as an acute bacterial infection of the bile ducts inside and outside the liver, gall bladder excluded. So they opt for the concept of barrier-free cholangitis
In contrast, the Anglo-Saxon defined as an infection of the bile necessarily associated with a gallstone obstruction of the bile ducts in 90% of cases.
08:19
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