The type of treatment necessary for oriental cholangiohepatitis is best guided by ERCP or THC.
Systemic antibiotics should be administered for the acute cholangitis.
Surgical treatment consists of cholecystectomy, common duct exploration, and removal of stones. Sphincteroplasty is advised to permit any residual or recurrent stones to escape from the duct. A Roux-en-Y choledochojejunostomy is indicated for patients with strictures, markedly dilated cuts - greater than 3 cm - or recurrent disease following a previous sphincteroplasty. Chronic intrahepatic stones and infection may necessitate hepatic lobectomy.
Surgery is successful in about 80% of cases but prolonged illness from repeated infection is unavoidable one strictures have developed.
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