A 42–Year–Old Woman With a New Diagnosis of Sclerosing Cholangitis

Slides:



Advertisements
Similar presentations
Irritable Bowel Syndrome and Microscopic Colitis: A Systematic Review and Meta- analysis Eline J.C.A. Kamp, John S. Kane, Alexander C. Ford Clinical Gastroenterology.
Advertisements

The Role of Psychosocial Care in Adapting to Health Care Reform
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thrombocytopenia With Abnormal Liver Function Tests
Classification, Diagnosis, and Management of Cholangiocarcinoma
Incorrect Calculation and Inappropriate Interpretation: Accuracy of International Guidelines for Identifying Significant Fibrosis in e Antigen–Negative.
Noncardiac Chest Pain Clinical Gastroenterology and Hepatology
Primary Sclerosing Cholangitis: Diagnosis, Prognosis, and Management
Pichamol Jirapinyo, Christopher C. Thompson 
Celiac Disease and Persistent Symptoms
A Shocking Cystory Clinical Gastroenterology and Hepatology
Todd H. Baron, MD, Thomas C. Smyrk, MD 
Portal Hypertensive Enteropathy in Small-Bowel Capsule Endoscopy
Right Upper Quadrant Pain and a Normal Abdominal Ultrasound
European Association for the Study of the Liver  Journal of Hepatology 
Value of Autoantibody Analysis in the Differential Diagnosis of Chronic Cholestatic Liver Disease  Piotr Milkiewicz, Hayman Buwaneswaran, Catalina Coltescu,
Stephen A. Harrison, MD, FACP  Clinical Gastroenterology and Hepatology 
Amy E. Schindler, Jonathan A. Schneider, Keith L. Obstein 
Evaluation and Treatment of Obesity
Many Patients With Primary Sclerosing Cholangitis and Increased Serum Levels of Carbohydrate Antigen 19-9 Do Not Have Cholangiocarcinoma  Emmanouil Sinakos,
Todd H. Baron, Patrick S. Kamath, Robert D. McBane 
Issue Highlights Clinical Gastroenterology and Hepatology
Should the Reflex Be Reflux
Endocuff to Improve Adenoma Detection: Supported by Low-Quality Evidence or Not Supported by High-Quality Evidence?  Yao Zhang, MD, Sheng-Bing Zhao, MD 
Patrick B. Allen, Paul J. Kettle, Inder Mainie 
Eighty-Year-Old Patient With History of a Twelve Millimeter Adenomatous Polyp Resected at Age of Seventy-Five Years  David Lieberman  Clinical Gastroenterology.
Utility of Testing Patients, on Presentation, for Serologic Features of Celiac Disease  Melpakkam Srinivas, Pandurangan Basumani, Geoff Podmore, Anna Shrimpton,
Activity-Based Costing and Management in a Hospital-Based GI Unit
Endoscopic Therapy for Barrett's Esophagus
AGA Clinical Practice Update on Functional Gastrointestinal Symptoms in Patients With Inflammatory Bowel Disease: Expert Review  Jean-Frederic Colombel,
Joanna Gibson, Jill Lacy, Ellen Matloff, Marie Robert 
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thurarshen Jeyalingam, Yuto Shimamura, Christopher Teshima 
Gastroenterology in a New Era of Accountability: Part 2
Inflammatory Bowel Disease Is Associated With Poor Outcomes of Patients With Primary Sclerosing Cholangitis  Jing Hieng Ngu, Richard Blair Gearry, Andrew.
New Models of Gastroenterology Practice
Ramesh Kumar, Masiullah, Pintu Kumar Singh 
Dushyant Singh, Reetu Singh, Wendell K. Clarkston 
Colon Neoplasms Develop Early in the Course of Inflammatory Bowel Disease and Primary Sclerosing Cholangitis  Erin W. Thackeray, Phunchai Charatcharoenwitthaya,
Intragastric Fistula After Multiple Sphere Magnet Ingestion
Cholelithiasis in a Patient With History of Cholecystectomy
A Young Woman With Gallstone Pancreatitis and Abnormal Liver Tests: When Is Endoscopic Retrograde Cholangiopancreatography Needed?  Andrew D. Rhim, Michael.
Primary Sclerosing Cholangitis and Disease Distribution in Inflammatory Bowel Disease  Aoibhlinn O'Toole, Alaa Alakkari, Denise Keegan, Glen Doherty, Hugh.
Colorectal Cancer Screening: How to Stop a Moving Target
Tamir Ben–Menachem, Jason A. Dominitz 
Effects of Different Coping Strategies on Physical and Mental Health of Patients With Irritable Bowel Syndrome  Lilian Dindo, PhD  Clinical Gastroenterology.
Knowledge Management: How to Keep up With the Literature
Mohamad H. Imam, Marina G. Silveira, Emmanouil Sinakos, Andrea A
Alan Bonder, MD, Nezam H. Afdhal, MD 
Hepatic Cyst? Clinical Gastroenterology and Hepatology
Thrombocytopenia With Abnormal Liver Function Tests
Patrícia Andrade, Susana Lopes, Guilherme Macedo 
A 27-Year-Old Woman With Constipation: Diagnosis and Treatment
Anshu Mahajan, Sean C. Kumer, Andrew Y. Wang 
Cost Effective Therapy for Sphincter of Oddi Dysfunction
Coagulation in Liver Disease: A Guide for the Clinician
Industry Payments to Gastroenterologists Across the United States
Issue Highlights Clinical Gastroenterology and Hepatology
Hairball in the Stomach: A Case of Gastric Trichobezoar
Black and White Liver Clinical Gastroenterology and Hepatology
Adverse Outcomes: Why Bad Things Happen to Good People
Ajaypal Singh, John D. Christein, Shyam Varadarajulu 
Medical Therapy for Refractory Pediatric Crohn’s Disease
Challenges of NIH Funding for Young Investigators: How the AGA Is Filling the Gap via the AGA Research Foundation  Timothy C. Wang, Rhonda F. Souza  Clinical.
Issue Highlights Clinical Gastroenterology and Hepatology
Issue Highlights Clinical Gastroenterology and Hepatology
The Role of Psychosocial Care in Adapting to Health Care Reform
Subcapsular Hepatic Fluid Collection Caused by Cardiac Dysfunction
Statin Use Is Associated With Improved Outcomes of Patients With Primary Sclerosing Cholangitis  Knut Stokkeland, Jonas Höijer, Matteo Bottai, Karin Söderberg-Löfdal,
Choosing Wisely and the Perceived Drivers of Endoscopy Use
Presentation transcript:

A 42–Year–Old Woman With a New Diagnosis of Sclerosing Cholangitis Andrea A. Gossard, Keith D. Lindor  Clinical Gastroenterology and Hepatology  Volume 10, Issue 6, Pages 593-597 (June 2012) DOI: 10.1016/j.cgh.2012.02.022 Copyright © 2012 AGA Institute Terms and Conditions

Figure 1 Algorithm for evaluation of cholestatic presentation. AMA, antimitochondrial antibody. Clinical Gastroenterology and Hepatology 2012 10, 593-597DOI: (10.1016/j.cgh.2012.02.022) Copyright © 2012 AGA Institute Terms and Conditions

Figure 2 MRCP showing PSC. Clinical Gastroenterology and Hepatology 2012 10, 593-597DOI: (10.1016/j.cgh.2012.02.022) Copyright © 2012 AGA Institute Terms and Conditions

Figure 3 Histologic evidence of PSC. (Note the concentric periductal fibrosis.) Clinical Gastroenterology and Hepatology 2012 10, 593-597DOI: (10.1016/j.cgh.2012.02.022) Copyright © 2012 AGA Institute Terms and Conditions

Figure 4 An ERCP. Clinical Gastroenterology and Hepatology 2012 10, 593-597DOI: (10.1016/j.cgh.2012.02.022) Copyright © 2012 AGA Institute Terms and Conditions