How do you triage PSC patients with multifocal, predominantly intrahepatic dominant strictures and recurrent cholangitis (without advanced cirrhosis) between ERCP (targeted minimal-contrast drainage), percutaneous drainage, and early transplant evaluation?

A lot to untangle from this one question:

1. Recurrent cholangitis is an indication for liver transplantation even in the absence of cirrhosis. Once a patient has had two episodes of cholangitis within a year, that triggers a transplant evaluation in my practice. The challenge will be in the patient's...