Endoscopic findings reveal that post-COVID-19 cholangiopathy resembles secondary sclerosing cholangitis, affecting critically ill patients. It emerges early during intensive care, causing significant and often irreversible damage to bile ducts. Typical cholangiographic features include a centripetal pattern of bile duct destruction, “vanishing bile ducts,” and intraductal biliary casts. This condition is associated with peribiliary liver abscesses. The prognosis is grim, with a 1-year liver transplant-free survival rate of 44%. Endoscopic procedures, especially ERCP with cast removal, are invaluable for diagnosis, prognosis, and treatment.
Journal Article by Silke L, Donata G (…) Christian J et 11 al. in Am J Gastroenterol
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