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Cholangitis pathway

What's New

11/01/2022 Minor edit to the pathway: change of temperature indicating pyrexia from greater than 38.5 degrees, to equal to or greater than 38.5 degrees.

Ascending cholangitis must be considered in any patient who has had liver surgery, particularly a Kasai portoenterostomy or liver transplant, or other biliary pathology (Primary Biliary Cirrhosis, Carolis) and who presents with pyrexia >38˚C without apparent cause. It should also be considered in patients with unexplained fever with other cholangiopathies. It can occur as a complication of a choledochal cyst (although rare). Patients should receive treatment as per the protocol below and always be discussed with the gastroenterology consultant on-call within 24 hours

Editorial Information

Last reviewed: 11 January 2022

Next review: 31 January 2025

Author(s): West of Scotland Paediatric Gastroenterology Hepatology & Nutrition Network

Version: 3

Approved By: WoSPGHaN