Guidelines on the management of common bile duct stones (CBDS)

@article{Williams2008GuidelinesOT,
  title={Guidelines on the management of common bile duct stones (CBDS)},
  author={Earl Jon Williams and J F Green and Ian J. Beckingham and Rowan W. Parks and D T Martin and Martin G Lombard},
  journal={Gut},
  year={2008},
  volume={57},
  pages={1004 - 1021}
}
The last 30 years have seen major developments in the management of gallstone-related disease, which in the United States alone costs over 6 billion dollars per annum to treat. Endoscopic retrograde cholangiopancreatography (ERCP) has become a widely available and routine procedure, whilst open cholecystectomy has largely been replaced by a laparoscopic approach, which may or may not include laparoscopic exploration of the common bile duct (LCBDE). In addition, new imaging techniques such as… Expand
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It is concluded that ERCP is a valuable option for management of CBD stones but should be performed selectively, with an emphasis on indications, endoscopic findings, and outcome. Expand
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TLDR
The reliability of preoperative clinical features such as jaundice and pancreatitis was assessed in determining the presence of choledocholithiasis, and was found to be of limited value, as well as Investigations such as intravenous cholangiography and liver function tests being inaccurate in the detection of common duct stones. Expand
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TLDR
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TLDR
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The timing and technique of perioperative biliary imaging in relation to laparoscopic surgery remains controversial. This study assessed the predictive value of magnetic resonanceExpand
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TLDR
A model describing the probability of endoscopic therapy in patients without previous biliary imaging useful for selection of patients for ERCP at the authors' center is developed and good fit is found. Expand
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TLDR
The identified independent clinical predictors of a CBD stone helps select a population of symptomatic gallstone bearers who benefit most from cholangiographic assessment. Expand
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