{"id":1579,"date":"2018-08-23T09:09:21","date_gmt":"2018-08-23T09:09:21","guid":{"rendered":"https:\/\/fehv.org\/?page_id=1579"},"modified":"2018-08-23T09:30:52","modified_gmt":"2018-08-23T09:30:52","slug":"cholangitis","status":"publish","type":"page","link":"https:\/\/fehv.org\/en\/diseases\/cholangitis\/","title":{"rendered":"Cholangitis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1579\" class=\"elementor elementor-1579 elementor-39 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3905f15 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3905f15\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-28ad91d\" data-id=\"28ad91d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-354d478 elementor-widget elementor-widget-heading\" data-id=\"354d478\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Chronic non-suppurative destructive cholangitis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-32a8bdd8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"32a8bdd8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-46bee11f\" data-id=\"46bee11f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f2dfbbe elementor-widget elementor-widget-image\" data-id=\"7f2dfbbe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4fd7ac7c\" data-id=\"4fd7ac7c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b0bb417 elementor-widget elementor-widget-text-editor\" data-id=\"3b0bb417\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>What is it?<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16c8371 elementor-widget elementor-widget-text-editor\" data-id=\"16c8371\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It is a <strong>chronic progressive liver disease<\/strong> that mainly affects women (90% of cases) from the fourth decade of life. It is characterized by inflammation and destruction of the bile canaliculi which are the ducts through which bile is secreted and which pass through the liver. This disease is also known as primary biliary cirrhosis, although this name is not correct since not all people who suffer from it have liver cirrhosis.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d8d0d1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3d8d0d1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8547adf\" data-id=\"8547adf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c73d38f elementor-widget elementor-widget-text-editor\" data-id=\"c73d38f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Causes of cholangitis<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1eb2b1 elementor-widget elementor-widget-text-editor\" data-id=\"b1eb2b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The disease is <strong>caused by the attack of the immune system<\/strong> (defenses) of the patient to the epithelium of the bile canaliculi (cells that form the wall of the canaliculi). The destruction of the bile canaliculi causes the accumulation of bile acids (components of bile) and other toxic substances in hepatocytes (liver cells) destroying them. There is evidence to indicate <strong>that there is a genetic predisposition to develop this disease<\/strong> and it has been suggested that infections by certain types of bacteria or viruses would be the trigger of the attack of the immune system in people who have genetic susceptibility.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-44a7748\" data-id=\"44a7748\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a79c12 elementor-widget elementor-widget-image\" data-id=\"7a79c12\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/LA-COLANGITIS-ESCLEROSANTE.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f00a1b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f00a1b7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7bbd1d3\" data-id=\"7bbd1d3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0fc5d23 elementor-widget elementor-widget-shortcode\" data-id=\"0fc5d23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><blockquote class=\"blockquote irc-bcq\">Cholangitis occurs mainly in women from 40 years.<br><footer>Dr. Vicente Carre\u00f1o<\/footer><\/blockquote><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3383d44 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3383d44\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7eadb9\" data-id=\"d7eadb9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53a28a9 elementor-widget elementor-widget-text-editor\" data-id=\"53a28a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Diagnosis<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4f8578 elementor-widget elementor-widget-text-editor\" data-id=\"b4f8578\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>In the initial phases, patients present no symptoms<\/strong> (60% of cases) and the disease is discovered when routine blood tests show elevated levels of liver enzymes (transaminases, alkaline phosphatase, gamma glutamyl transpeptidase). As the disease progresses, patients may have asthenia (weakness), pruritus (itching) and jaundice (yellowing of the skin and eyes) and 95% of them have anti-mitochondrial antibodies (AMA).<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4743d964 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4743d964\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-36861200\" data-id=\"36861200\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4c0ba6b2 elementor-widget elementor-widget-image\" data-id=\"4c0ba6b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-657bc554\" data-id=\"657bc554\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e48991d elementor-widget elementor-widget-text-editor\" data-id=\"e48991d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Treatment<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5ed0db elementor-widget elementor-widget-text-editor\" data-id=\"c5ed0db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>The treatment of non-suppurative destructive chronic cholangitis<\/strong> consists of the administration of ursodeoxycholic acid (UDCA), which must be taken indefinitely. This drug manages to avoid inflammation and destruction of liver cells (normalization of liver parameters) in 70% of treated people. The UDCA presents an excellent tolerance, although some patients may notice bloating (gas), increased intestinal rhythm and digestive discomfort. If the patient does not respond to treatment with UDCA, immunosuppressive drugs (cortisone, etc.) can be added.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a64ff0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a64ff0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c0bdb71\" data-id=\"c0bdb71\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-273d3ff elementor-widget elementor-widget-text-editor\" data-id=\"273d3ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Chronic nonsuppurative destructive cholangitis is associated with the development of osteoporosis<\/strong> and, therefore, the use of vitamin D and calcium supplements is necessary.<\/p>\n<p>As previously mentioned, patients with chronic non-suppurative destructive cholangitis may have pruritus (generalized itching) of great intensity requiring pharmacological treatment (resins, antihistamines, etc.).<\/p>\n<p>Finally, if the disease continues to progress and ends in liver cirrhosis, it is necessary to resort to liver transplantation.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-00a1f6b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"00a1f6b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a60e511\" data-id=\"a60e511\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-86fbe2a elementor-widget elementor-widget-text-editor\" data-id=\"86fbe2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5>There is evidence that indicates that there is a genetic <strong>predisposition to develop this disease.<\/strong><\/h5>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72282cfa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72282cfa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5475dd15\" data-id=\"5475dd15\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b95ee60 elementor-widget elementor-widget-text-editor\" data-id=\"6b95ee60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>How can you know the aggressiveness of the disease<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-383ee7a0 elementor-widget elementor-widget-text-editor\" data-id=\"383ee7a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A liver biopsy not only confirms the clinical diagnosis of destructive non-suppurative chronic cholangitis, but also determines the degree of inflammation and destruction of the liver cells.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1e11cdf5\" data-id=\"1e11cdf5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f11c981 elementor-widget elementor-widget-image\" data-id=\"f11c981\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8e5ae24 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8e5ae24\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9127796\" data-id=\"9127796\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c26dc88 elementor-widget elementor-widget-text-editor\" data-id=\"c26dc88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>References<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01a8255 elementor-widget elementor-widget-text-editor\" data-id=\"01a8255\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Prince MI, Jones DE. Primary biliary cirrhosis: new perspectives in diagnosis and treatment. Postgrad Med J 2000;76:199-206.<\/li>\n<li>Corpechot C, et al. The effect of ursodeoxycholic acid therapy on the natural course of primary biliary cirrhosis. Gastroenterology 2005;128:297-303.<\/li>\n<li>Hohenester S, et al. Primary biliary cirrhosis. Semin Immunopathol 2009;31:283-307<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-39ef9591 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"39ef9591\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-34214912\" data-id=\"34214912\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-68ac7bad elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"68ac7bad\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2a5e0f21\" data-id=\"2a5e0f21\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b0c9b67 elementor-widget elementor-widget-image\" data-id=\"2b0c9b67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/Vicente-Carreno-clinica-hepatologia.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-22ca2533\" data-id=\"22ca2533\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-521a7f8c elementor-widget elementor-widget-text-editor\" data-id=\"521a7f8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Consult our doctor<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43efea13 elementor-widget elementor-widget-heading\" data-id=\"43efea13\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Dr. Vicente Carre\u00f1o<br>Hepatology specialist<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b3f4a40 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5b3f4a40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-05ad6c8 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"05ad6c8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1fc69ce\" data-id=\"1fc69ce\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-46e1bca elementor-widget elementor-widget-heading\" data-id=\"46e1bca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">REQUEST INFORMATION WITHOUT COMMITMENT<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9fc6284\" data-id=\"9fc6284\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0395596 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"0395596\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"\/?page_id=810\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">REQUEST INFORMATION<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-61891c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61891c6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7bb0d59\" data-id=\"7bb0d59\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7afe652 elementor-widget elementor-widget-shortcode\" data-id=\"7afe652\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"container mt-5\">\r\n        <div class=\"row\">\r\n        \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-e\/\">Hepatitis E<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis E is an acute inflammatory disease of the liver that can lead to fulminant hepatitis.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-e\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img decoding=\"async\" class=\"card-img-top img-fluid\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2021\/03\/higado_graso-350x159.jpg\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/fatty-liver\/\">Fatty liver<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is the second cause of liver transplantation in the USA and in the next 10 years is expected to be the first cause. It is a serious illness if it is not treated properly.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/fatty-liver\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\">Cholangitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a chronic progressive liver disease that mainly affects women (90% of cases) from the fourth decade of life.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\">Autoimmune hepatitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a progressive chronic inflammatory disease of the liver that can lead to liver cirrhosis.\r\n<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\">Cryptogenic Hepatitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a liver disease of an inflammatory nature and can develop chronically.\r\n<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\">Hepatitis A<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis A is an acute inflammatory disease of the liver, caused by infection with hepatitis A virus (VAH).<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n        <\/div>\r\n        <div class=\"row\">\r\n            <div class=\"col text-center\">\r\n                <a class=\"text-primary font-weight-bold\" href=\"https:\/\/fehv.org\/enfermedades\/\" target=\"_self\">Ver todas<\/a>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"It is a chronic progressive liver disease that mainly affects women (90% of cases) from the fourth decade of life.","protected":false},"author":1,"featured_media":0,"parent":1586,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1579","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cholangitis - Cl\u00ednica FEHV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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