RT Book, Section A1 Pyrsopoulos, Nikolaos T. A1 Kutner, Matthew A2 Molmenti, Ernesto Pompeo A2 Santibañes, Martin de A2 Santibañes, Eduardo de SR Print(0) ID 1180107636 T1 Primary Biliary Cholangitis: A Review T2 Liver Transplantation: Operative Techniques and Medical Management YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260462517 LK accesssurgery.mhmedical.com/content.aspx?aid=1180107636 RD 2024/04/25 AB Primary biliary cholangitis (PBC), previously known as primary biliary cirrhosis, is a rare chronic inflammatory autoimmune cholestatic liver disease that generally affects middle-aged women. It is the most common chronic cholestatic liver disease in adults in the United States. The disease is a T-lymphocyte–mediated chronic destructive cholangitis with elevated serum levels of anti–mitochondrial autoantibodies (AMAs). The name change reflects the fact that cirrhosis occurs only in the late stage and therefore does not accurately characterize patients with early-stage disease. In this chapter, we will review the epidemiology, pathophysiology, clinical features, and diagnostic approach, as well as treatment modalities.