Plasmapheresis and corticosteroid treatment for persistent jaundice after successful drainage of common bile duct stones by endoscopic retrograde cholangiography

Prolonged cholestasis is a very rare complication of endoscopic retrograde cholangiography (ERC). Only few cases with this complication are reported in the English literature. We report persisting cholestatic jaundice in a 73-year old man after successful therapeutic ERC for choledocholithiasis. Serologic tests for viral and autoimmune hepatitis were all negative. A second-look ERC was normal also. He denied any medication except for prophylaxis given intravenous 1 g ceftriaxon prior to the ERC procedure. After an unsuccessful trial with ursodeoxycholic acid and cholestyramine for 2 wk, this case was efficiently treated with corticosteroids and plasmapheresis. His cholestatic enzymes became normal and intense pruritis quickly resolved after this treatment which lasted during his follow-up period. We discussed the possible mechanisms and treatment alternatives of intrahepatic cholestasis associated with the ERC procedure. © 2007 WJG. All rights reserved.

Yazar Saritas U.
Aydin B.
Ustundag Y.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/7029
Tek Biçim Adres 10.3748/wjg.v13.i30.4152
Konu Başlıkları Cholestasis
Endoscopic retrogade cholangiography
Plasmapheresis
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı World Journal of Gastroenterology
Dergi Cilt Bilgisi 13
Dergi Sayısı 30
Sayfalar 4152 - 4153
Yayın Yılı 2007
Eser Adı
[dc.title]
Plasmapheresis and corticosteroid treatment for persistent jaundice after successful drainage of common bile duct stones by endoscopic retrograde cholangiography
Yazar
[dc.contributor.author]
Saritas U.
Yazar
[dc.contributor.author]
Aydin B.
Yazar
[dc.contributor.author]
Ustundag Y.
Yayın Yılı
[dc.date.issued]
2007
Yayıncı
[dc.publisher]
WJG Press
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Prolonged cholestasis is a very rare complication of endoscopic retrograde cholangiography (ERC). Only few cases with this complication are reported in the English literature. We report persisting cholestatic jaundice in a 73-year old man after successful therapeutic ERC for choledocholithiasis. Serologic tests for viral and autoimmune hepatitis were all negative. A second-look ERC was normal also. He denied any medication except for prophylaxis given intravenous 1 g ceftriaxon prior to the ERC procedure. After an unsuccessful trial with ursodeoxycholic acid and cholestyramine for 2 wk, this case was efficiently treated with corticosteroids and plasmapheresis. His cholestatic enzymes became normal and intense pruritis quickly resolved after this treatment which lasted during his follow-up period. We discussed the possible mechanisms and treatment alternatives of intrahepatic cholestasis associated with the ERC procedure. © 2007 WJG. All rights reserved.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cholestasis
Konu Başlıkları
[dc.subject]
Endoscopic retrogade cholangiography
Konu Başlıkları
[dc.subject]
Plasmapheresis
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1007-9327
İlk Sayfa Sayısı
[dc.identifier.startpage]
4152
Son Sayfa Sayısı
[dc.identifier.endpage]
4153
Dergi Adı
[dc.relation.journal]
World Journal of Gastroenterology
Dergi Sayısı
[dc.identifier.issue]
30
Dergi Cilt Bilgisi
[dc.identifier.volume]
13
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.3748/wjg.v13.i30.4152
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/7029
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
15
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
04 Mart 2024 17:24
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cholestatic normal treatment cholestasis procedure complication became enzymes plasmapheresis corticosteroids treated efficiently cholestyramine unsuccessful ursodeoxycholic Prolonged intense mechanisms reserved rights associated intrahepatic alternatives possible pruritis discussed period follow-up during lasted resolved quickly denied ceftriaxon 73-year
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