CareLit Fachartikel

Budesonide/ursodesoxycholic acid in sclerosing cholangitis of critical illness

M Reichmayr, K König, H Mauler, L Nitsche, W Ulrich, L Kramer · Zeitschrift für Gastroenterologie · 2011 · Heft 05

Dokument
1109388
CareLit-ID
Jahr
2011
Publikation
PDF
nein
Metadaten
DOI
ja
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Bibliografische Angaben

Zeitschrift
Zeitschrift für Gastroenterologie
Autor:innen
M Reichmayr, K König, H Mauler, L Nitsche, W Ulrich, L Kramer
Ausgabe
Heft 05 / 2011
Seiten
–
Erschienen: 2011-05-20 00:00:00
ISSN
0044-2771

Zusammenfassung

Introduction: Recent advances in ICU care have improved survival in critically ill patients. This development has given rise to formerly unknown complications involving the biliary system. Sclerosing cholangitis in critically ill patients (SC-CIP) may develop after sepsis/shock and can rapidly progress to biliary cirrhosis. So far, ursodesoxycholic acid (UDCA) is the only recommended pharmacological therapy, but efficacy is limited. Budesonide, a topically acting oral corticosteroid with extensive first pass hepatic metabolism, could represent a potential therapeutic alternative for SC-CIP. Patients and methods:…

Schlagworte

Budesonide After Diagnosis Cholangitis Sepsis Biopsy Zeitschrift für Gastroenterologie