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

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dc.creator Ustundag, Yucel
dc.creator Saritas, Ulku
dc.creator Aydin, Bunyamin
dc.date 2007-08-13T21:00:00Z
dc.date.accessioned 2020-10-06T11:00:56Z
dc.date.available 2020-10-06T11:00:56Z
dc.identifier b1ecbf1b-ceae-44f2-b6fc-4caa58aa96fb
dc.identifier 10.3748/wjg.v13.i30.4152
dc.identifier https://avesis.sdu.edu.tr/publication/details/b1ecbf1b-ceae-44f2-b6fc-4caa58aa96fb/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/69614
dc.description 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. (c) 2007 WJG. All rights reserved.
dc.language eng
dc.rights info:eu-repo/semantics/openAccess
dc.title Plasmapheresis and corticosteroid treatment for persistent jaundice after successful drainage of common bile duct stones by endoscopic retrograde cholangiography
dc.type info:eu-repo/semantics/article


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