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*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.
*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.
**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.
**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.
*Ursodeoxycholic acid at 15 mg/kg q24 hours may be given.
*Ursodeoxycholic acid at 15 mg/kg q24 hours PO may be given.
**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect. The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.
**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect. The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.
*Aggressive supportive care is required due to severe illness.
*Aggressive supportive care is required due to severe illness.