Milena Velbae Nadine Jansen

Introduction to the History of cholangitis

The activity of a general surgeon is dominated by biliary surgery.

Indeed, several studies around the world can show that 25% of surgeries at the hospital level are interventions for gallstone disease.

On the other hand, the prevalence of gallstone disease as it represents the most common cause of cholangitis is estimated between 15 and 25 % of the adult population.

Thus biliary disease and more accurately because of cholangitis is a mortality, bed occupancy in hospitals and increased health costs.

Indeed, cholangitis is a complication of biliary lithiasis especially as it requires multidisciplinary care (medical and surgical) to be specific and tailored .

Interest of the question ...

The interest we take in this condition is based on the frequency of cholangitis and its severity represented by the high mortality rate.

other hand, the concept of cholangitis, which highlights the affections of their bile purely surgical field and opens the door to an area where many medical and surgical clinical features, therapeutic and I ; biological entangled me.

Indeed, the indication of operative cholangitis is unambiguous, the time of surgery remains a topic of discussion, as patients are operated variable within the hospital for immediate emergency and up to several weeks in the delayed emergency.

For all these reasons it seemed useful to conduct a retrospective study at the University Hospital of Annaba (Algeria) on cholangitis, allowing a diagnostic approach as well as tea
peutic.

This study will, hopefully, contribute to a better management of cholangitis CHU Annaba

L'angiocholite

(«angio-» du grec aggeion signifiant: vaisseau ou conduit, «chol(é)-» du grec kholè signifiant: bille et le suffixe «-ite» du grec itis servant à désigner une inflammation)
[25]correspond littéralement à une inflammation des voies biliaires .

En pratique le terme angiocholite est utilisé pour désigner un syndrome clinique qui, dans sa forme typique de l’angiocholite aigue lithiasique, associe une douleur de l’hypochondre droit, une fièvre and jaundice. It reflects an infection of the bile and an acute inflammatory condition of the walls of the bile ducts.

But the definition of cholangitis varies schools:

Indeed, the French school emphasizes the definition of bacteriological affection, describing and cholangitis as an acute bacterial infection of the bile ducts inside and outside the liver, gallbladder excluded. So they opt for the concept of cholangitis sans obstacle

En revanche les anglo-saxons la définissent comme étant une infection de la bile associée obligatoirement à un obstacle lithiasique des voies biliaires dans 90% des cas.