Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management

Primary sclerosing cholangitis is a chronic immune-mediated liver disease. Though rare, it poses several clinical concerns for the managing physician. There are currently limited therapeutic options in the management of the condition and weak evidence base behind them. Endoscopic intervention is lim...

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Main Authors: Aditi Kumar, Daniel Wheatley, Amar Puttanna
Format: Article
Language:English
Published: SAGE Publishing 2016-09-01
Series:Clinical Medicine Insights: Gastroenterology
Online Access:https://doi.org/10.4137/CGast.S38451
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author Aditi Kumar
Daniel Wheatley
Amar Puttanna
author_facet Aditi Kumar
Daniel Wheatley
Amar Puttanna
author_sort Aditi Kumar
collection DOAJ
description Primary sclerosing cholangitis is a chronic immune-mediated liver disease. Though rare, it poses several clinical concerns for the managing physician. There are currently limited therapeutic options in the management of the condition and weak evidence base behind them. Endoscopic intervention is limited to those patients with obstructing stricture-related disease, and even liver transplantation has a risk of disease recurrence. Surveillance for inflammatory bowel disorders, metabolic bone disease, and malignancy is paramount when managing such patients. This article provides an overview of the condition with further focus on current therapeutic options and guidance on surveillance management.
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spelling doaj.art-4a1e9b6416034c02a614836257817f9c2022-12-21T18:49:31ZengSAGE PublishingClinical Medicine Insights: Gastroenterology1179-55222016-09-01910.4137/CGast.S38451Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance ManagementAditi Kumar0Daniel Wheatley1Amar Puttanna2Russells Hall Hospital, Dudley, UK.Russells Hall Hospital, Dudley, UK.University Hospital North Midlands, Stoke-on-Trent, England, UK.Primary sclerosing cholangitis is a chronic immune-mediated liver disease. Though rare, it poses several clinical concerns for the managing physician. There are currently limited therapeutic options in the management of the condition and weak evidence base behind them. Endoscopic intervention is limited to those patients with obstructing stricture-related disease, and even liver transplantation has a risk of disease recurrence. Surveillance for inflammatory bowel disorders, metabolic bone disease, and malignancy is paramount when managing such patients. This article provides an overview of the condition with further focus on current therapeutic options and guidance on surveillance management.https://doi.org/10.4137/CGast.S38451
spellingShingle Aditi Kumar
Daniel Wheatley
Amar Puttanna
Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
Clinical Medicine Insights: Gastroenterology
title Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
title_full Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
title_fullStr Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
title_full_unstemmed Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
title_short Primary Sclerosing Cholangitis: Therapeutic Options and Surveillance Management
title_sort primary sclerosing cholangitis therapeutic options and surveillance management
url https://doi.org/10.4137/CGast.S38451
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AT danielwheatley primarysclerosingcholangitistherapeuticoptionsandsurveillancemanagement
AT amarputtanna primarysclerosingcholangitistherapeuticoptionsandsurveillancemanagement