Cholangitis pathway

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What's new / Latest updates
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