Can cholangitis be cured?

Cholangitis has a relatively large impact on the patient's life and work. When this disease occurs, it must be treated promptly and effectively. After all, once this disease occurs, it will cause great harm to the patient's life and work, and the patient will be very painful. There are many treatments for cholangitis. According to the patient's specific symptoms, drug treatment, surgical treatment and other methods can be used.

Can cholangitis be cured?

1. Chronic cholangitis is treated with surgery to remove obstructive factors and ensure smooth bile duct drainage. In the case of an acute attack, control the infection first and then perform surgery after the condition stabilizes. The bile duct is opened to remove stones or ascarids, and a T-tube is used for drainage. If there is stenosis of the sphincter of Oddi, sphincterostomy can be performed. If there is obstruction of the lower end of the common bile duct, biliary intestinal drainage techniques such as common bile duct duodenal anastomosis or bile duct Roux-y jejunostomy can be performed. To eliminate the infection focus, the gallbladder should be removed. For patients with intrahepatic bile duct stenosis, it is necessary to thoroughly understand its pathological changes and eliminate the cause of its obstruction.

For example, the stricture of the intrahepatic bile duct is incised, and the intrahepatic stones are removed, and then a Roux-y choledochojejunostomy is performed. Reflux cholangitis is prone to occur after sphincter of Oddi plasty and choledochoduodenostomy.

2. Surgery for acute cholangitis relieves bile duct obstruction, reduces bile duct pressure, and ensures smooth drainage. However, in the early stages of the disease, when the condition is not too serious, such as acute simple cholangitis, non-surgical methods can be used first. If non-surgical treatment is ineffective and simple cholangitis develops into acute obstructive suppurative cholangitis, surgical treatment should be adopted in a timely manner. Non-surgical treatment includes the use of antispasmodics, analgesics and choleretics, among which 50% magnesium sulfate solution often has a good effect, with a dosage of 30-50 ml taken once or 10 ml three times a day; gastrointestinal decompression is also often used; the combined use of large doses of broad-spectrum antibiotics is very important. Although the antibiotic concentration in the bile cannot reach the concentration required for treatment when the bile duct is obstructed, it can effectively treat bacteremia and sepsis. Commonly used antibiotics include gentamicin, chloramphenicol, cefotaxime and ampicillin.

Home care for cholangitis 1. Take medication as prescribed by the doctor and actively seek treatment to avoid delaying the disease. 2. The diet should be soft, light and easy to digest; avoid tobacco, alcohol, fatty and sweet foods, and keep the bowels open. 3. Relieve negative emotions, pay attention to keeping a good mood, and avoid negative stimuli such as depression, anger, etc. 4. Exercise: Do appropriate physical exercise without feeling tired. Do not exert excessive force during activities to avoid collisions and injuries to the ribs. 5. Develop a healthy lifestyle and behavior in daily life. Maintain a regular daily routine and avoid overwork. 6. Follow up with your doctor regularly. If the side pain worsens or is accompanied by nausea or vomiting, seek medical attention promptly.

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