Surgical Experience with Cholangiohepatitis (Hong Kong Disease) in Canton Chinese

Mage, Sigmund; Morel, A

doi:10.1097/00000658-196508000-00003

Cited by 19 publications

(10 citation statements)

References 3 publications

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“…8,9 This clinical entity was first described by Digby as a type of cholangio-hepatitis in Chinese 10 ; but it was Cook who first used the term ''recurrent pyogenic cholangitis.'' 11 Various other names such as ''oriental cholangiohepatitis,'' 12 ''oriental cholangitis,'' 13 ''Hong Kong disease,'' 14 and ''biliary obstruction syndrome of the Chinese'' 15 have been used in the Western literature to describe this ''mysterious'' oriental syndrome. The basic pathology is HL as described in the Japanese literature, 16,17 while the clinical manifestations and suppurative complications are as described for RPC.…”

Section: Terms and Definitionsmentioning

confidence: 99%

Hepatolithiasis and the Syndrome of Recurrent Pyogenic Cholangitis: Clinical, Radiologic, and Pathologic Features

et al. 2011

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Primary hepatothiasis (HL) and recurrent pyogenic cholangitis (RPC) are two terms describing the different aspects of the same disease, with HL emphasizing the pathologic changes and RPC emphasizing the clinical presentation and suppurative inflammation. It is predominantly a disease of the Far East. In the 1960s, it was the third most common cause of emergency abdominal surgery at a university hospital in Hong Kong. Thereafter, its incidence has decreased considerably, possibly due to improved standards of living and Westernized diet. Clinically, patients may present acutely with recurrent bacterial cholangitis and its possible complications, such as liver abscess and septicemic shock, or with chronic complications, such as cholangiocarcinoma. Pathologically, it is characterized by pigmented calcium bilirubinate stones within dilated intrahepatic bile ducts featuring chronic inflammation, mural fibrosis, and proliferation of peribiliary glands, without extrahepatic biliary obstruction. Episodes of suppurative inflammation cumulate in sclerosing cholangitis of peripheral ducts and parenchymal fibrosis resulting from collapse and scarring. Mass-forming inflammatory pseudotumor and neoplasms like intraductal papillary neoplasms and cholangiocarcinoma are increasingly recognized complications. Modern imaging techniques allow definitive diagnosis, accurate assessment for treatment planning, and detection of complications. A multidisciplinary team approach (interventional endoscopist, interventional radiologist, hepatobiliary surgeon, and intensivists) is important for optimal patient outcome.

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Section: Terms and Definitionsmentioning

confidence: 99%

Hepatolithiasis and the Syndrome of Recurrent Pyogenic Cholangitis: Clinical, Radiologic, and Pathologic Features

et al. 2011

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“…Cook et al [17] coined the term recur rent pyogenic cholangitis (RPC) to apply to this syndrome, and others have called it (oriental) cholangiohepatitis [18][19][20], Hong Kong Disease [21], or biliary obstruction syndrome of the Chinese [22], Recently. RPC has been classified as a primary cholangitis [23,24], in recognition of the absence of pre ceding obstruction of the biliary tree.…”

Section: Pyogenic Cholangitis In the Orientmentioning

confidence: 99%

“…The gallbladder has been considered the source of bacteria in some cases of obstruc tive cholangitis [34][35][36], although where the gallbladder is normal, there is often no infec tion [36]. The gallbladder in RPC is often normal and/or without calculus in two thirds of the patients, so that it is unlikely to be the major source of infecting organisms [21,[25][26][27], The observation that early changes of RPC as dectected by endoscopic retrograde cholangiography are usually confined to the intrahepatic ducts [26] also speaks against the ascending route of infection.…”

Section: Ascending Routementioning

confidence: 99%

Pyogenic Cholangitis

Lam¹,

Chan²

1985

Dig Dis

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“…Hepatolithiasis is the presence of stones in the intrahepatic duct (IHD) proximal to the confluence of the right and left main hepatic ducts . This disease is endemic in Southeast Asia and it is also referred to as ‘IHD stones’, ‘recurrent pyogenic cholangitis’, ‘oriental cholangiohepatitis’ or ‘Hong Kong disease’ in the literature …”

Section: Introductionmentioning

confidence: 99%

“…1 This disease is endemic in Southeast Asia and it is also referred to as 'IHD stones', 'recurrent pyogenic cholangitis', 'oriental cholangiohepatitis' or 'Hong Kong disease' in the literature. [2][3][4] Regardless of the treatment administered, it is reasonable to suppose that the outcomes of bilateral hepatolithiasis would be worse than those of unilateral hepatolithiasis. However, probably due to limited patient number, most of the classic and largest studies were designed to evaluate unilateral and bilateral hepatolithiasis together.…”

Section: Introductionmentioning

confidence: 99%