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(ERCP) has become a widely available and routine procedure, whilst open cholecystectomy has largely been replaced by a laparoscopic approach, which may or may not include laparoscopic exploration of the common bile duct (LCBDE).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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494 Citations
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494 Citations

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Special Considerations for the Gastroenterologist
TLDR
This book discusses the approach to patients with post-surgical anatomy, acute cholangitis, acute gallstone-mediated pancreatitis and patients with inherited or acquired coagulation disorders, and highlights the key issues within specific clinical scenarios which may alter management. Expand
Updated guideline on the management of common bile duct stones (CBDS)
TLDR
The following recommendations reflect changes in management of common bile duct stones and provide updated guidance to healthcare professionals who are involved in the care of adult patients with suspected or proven CBDS. Expand
[The Management of Common Bile Duct Stones].
  • C. Park
  • Medicine
  • The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
  • 2018
TLDR
Endoscopic sphincterotomy and endoscopic papillary balloon dilation in ERCP are the primary methods for dilating the papilla of Vater for endoscopic removal of CBD stones. Expand
Endoscopic Management of the Difficult Bile Duct Stones: A Single Tertiary Center Experience
Background. Most common bile duct (CBD) stones can be removed with standard techniques using endoscopic retrograde cholangiopancreatography (ERCP), but in some cases additional methods are needed. In… Expand
Surgical Intervention versus Endoscopy in the Treatment of Bile Duct Stones
TLDR
The pathophysiology of bile duct stones, finding, and distinctive procedures of treatment with particular concentrate on the different surgical modalities are surveyed. Expand
Modern approach to cholecysto-choledocholithiasis.
TLDR
A multitude of data fail to strongly demonstrate the superiority of any technique (including a two or multi-step approach), while rigorous clinical trials that include so many different types of treatment are still lacking, and it is most likely unrealistic to conduct them in the future. Expand
Technical Aspects of Bile Duct Evaluation and Exploration: An Update.
TLDR
A framework for evaluating and treating patients with CBD pathologic condition with an emphasis on technical aspects of CBDE and preoperative planning and preparation is provided. Expand
Aspects of interventional endoscopic treatment of common bile duct stones
TLDR
The peroperative combination of laparoscopy and endoscopy, with so-called rendezvous ERCP (RV-ERCP) is by comparison with conventional E RCP, a safe and efficient treatment method regarding feasibility in clinical practice, complete stone clearance and ERCp associated complications. Expand
Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review
TLDR
The pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities are reviewed. Expand
Difficulty of Delayed Laparoscopic Cholecystectomy After Endoscopic Retrograde Cholangiography Management of Choledocholithiasis
TLDR
Concomitant or early LC (within 1 week) after endoscopic retrograde cholangiography (ERC) for CBDS is strongly recommended, otherwise, a high surgical expertise is advised to perform the procedure after that period. Expand
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References

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The role of endoscopic retrograde cholangiopancreatography in the laparoscopic era
TLDR
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
Exploration of the common bile duct—the relevance of the clinical picture and the importance of peroperative cholangiography
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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TLDR
A low incidence of complications accompanies laparoscopic cholecystectomy now that experience has been gained with this procedure by laparoscopically skilled surgeons, and the management of stones found or suspected in the common bile duct continues to be controversial. Expand
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TLDR
In the period 1957‐72, 426 patients were operated upon for calculous disease of the biliary tract, and in the remaining 400 patients this examination was the major determinant as to whether or not the common duct contained calculi, and hence required exploration. Expand
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TLDR
Endoscopic treatment alone in this group of patients with intact gallbladder and CBD calculi is a feasible treatment principle, and recognition of the registered risk factors might be helpful when selecting patients for subsequent cholecystectomy. Expand
Is magnetic resonance cholangiopancreatography the new gold standard in biliary imaging?
The timing and technique of perioperative biliary imaging in relation to laparoscopic surgery remains controversial. This study assessed the predictive value of magnetic resonance… Expand
Prediction of therapy in primary endoscopic retrograde cholangiopancreatography.
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
Useful Predictors of Bile Duct Stones in Patients Undergoing Laparoscopic Cholecystectomy
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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