Chapter 15. Surgical Jaundice and Cholangitis

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer3,4,
  2. Bryan A. Cotton MD, MPH Associate Professor5,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer4,6 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor7
  1. John S. Hammond Clinical Lecturer1 and
  2. Ian Beckingham HPB and Laparoscopic Surgeon2

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch15

Emergency Surgery

Emergency Surgery

How to Cite

Hammond, J. S. and Beckingham, I. (2010) Surgical Jaundice and Cholangitis, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch15

Editor Information

  1. 3

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 4

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 5

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 6

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 7

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 1

    Department of Surgery, Nottingham Digestive Diseases Centre, University of Nottingham, Nottingham, UK

  2. 2

    Queens Medical Centre, Nottingham University Hospital, NHS Trust, Nottingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • surgical jaundice and cholangitis;
  • prehepatic jaundice;
  • posthepatic (obstructive) jaundice;
  • toxins, infections, metabolic and autoimmune conditions causing hepatic jaundice;
  • differentiating prehepatic, hepatic and posthepatic jaundice;
  • gamma glutamyltanspeptidase, gamma glutamyltanspeptidase (GGT);
  • transaminases, indicators of hepatocellular damage - Alanine aminotransferase (ALT);
  • obstructive jaundice investigation;
  • gallstone disease management - cholecystectomy;
  • percutaneous transhepatic cholangiography – PTC, radiological technique


This chapter contains sections titled:

  • Introduction

  • Prehepatic jaundice

  • Hepatic jaundice

  • Posthepatic (obstructive) jaundice

  • Investigation of the jaundiced patient

  • Investigation of obstructive jaundice

  • Gallstones

  • Choledocholithiasis and jaundice

  • Management of gallstone disease

  • Cholecystostomy

  • Techniques for CBDS removal

  • Bile duct exploration

  • Management of T-tubes

  • Acute cholangitis

  • Presentation

  • Initial management

  • Malignant bile duct obstruction

  • References