Infection of the Bile Duct Treatment
A person with cholangitis requires admission to the hospital for intravenous fluids and antibiotics. Those with severe cholangitis may require endoscopic retrograde cholangiopancreatography (ERCP) or surgery to relieve a bile duct obstruction. During ERCP, a flexible scope is passed through the mouth and into the small intestine, in order to view the bile duct from the intestine. The doctor uses a small balloon on the end of the endoscope to open the blocked duct.
Treatment for cholangitis may include:
- Intravenous fluids
- Antibiotics for cholangitis:
- Ampicillin (Omnipen, Marcillin)
- Metronidazole (Flagyl)
- Gentamicin (Gentacidin, Garamycin)
- Cefoxitin (Mefoxin)
- Piperacillin and tazobactam (Zosyn)
- Cefotaxime (Claforan)
- Clindamycin (Cleocin)
- Mezlocillin (Mezlin)
- Imipenem and cilastatin (Primaxin)
- Meropenem (Merrem)
- Ticarcillin and clavulanate potassium (Timentin)
- Ampicillin and sulbactam (Unasyn)
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- ERCP for cholangitis
- Surgery for cholangitis:
- To relieve the obstructed bile duct
Infection of the Bile Duct Questions For Doctor
The following are some important questions to ask before and after the treatment of cholangitis.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Infection of the Bile Duct Specialist
Physicians from the following specialties evaluate and treat cholangitis:
Continue to Infection of the Bile Duct Warning Signs
- Bergquist A, Broome U. Clinical features in primary sclerosing cholangitis. Clin Liver Dis. 1998 May;2(2):283-301, viii. 
- Gossard AA, Angulo P, Lindor KD. Secondary sclerosing cholangitis: a comparison to primary sclerosing cholangitis. Am J Gastroenterol. 2005 Jun;100(6):1330-3. 
- Pall H, Jonas MM. Pediatric hepatobiliary disease. Curr Opin Gastroenterol. 2005 May;21(3):344-7.