Hugh James Freeman*

Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, Canada

*Corresponding Author: Hugh James Freeman, Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, Canada.

Received: May 02, 2023; Published: June 13, 2023

Abstract

A newly described complication of severe COVID-19 is an unusual, but late-appearing form of cholangiopathy associated with a “secondary” form of sclerosing cholangitis. The aim of this evaluation was to review literature related to this disorder. Clinical features include elevated alkaline phosphatase with imaging changes typical of bile duct obstruction. In some, this was complicated by progressive jaundice often accompanied by changes of large duct obstruction and biliary casts. The precise mechanism for late biliary ductal injury still requires elucidation. In addition, Covid-19 patients require long-term follow-up, as changes may only develop late in the clinical course. Moreover, treatment has been difficult with progression to fulminant hepatic failure and requirement for liver transplantation.

Keywords: COVID-19 Bile Duct Disease; Virus-associated Cholangiopathy; Cholestatic Liver Disease; SARS-CoV-2 Infection; Coronavirus Cholestasis

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Citation

Citation: Hugh James Freeman. “COVID-19 Associated Cholangiopathy”.Acta Scientific Medical Sciences 7.7 (2023): 48-50.

Copyright

Copyright: © 2023 Hugh James Freeman. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.