Common bile duct stones: A controversy revisited

Mitchell, S. A.; Jacyna, M. R.; Chadwick, S. J. D.

doi:10.1002/bjs.1800800635

Cited by 24 publications

(19 citation statements)

References 29 publications

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“…One patient in the control group had retained CBDS detected during follow-up evaluation, whereas none occurred in the case group. Conclusion: The proposed scoring system allows selective use of IVC, ERC, and/or IOC in patients undergoing elective LC.The reported incidence of common bile duct stones (CBDS) varies between 7 and 20% [21,27,28,40]. Management of suspected choledocholithiasis is changing with the rapid acceptance of laparoscopic cholecystectomy (LC) as the conventional method for treatment of patients with symptomatic gallstones [28,31].…”

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Scoring system to predict asymptomatic choledocholithiasis before laparoscopic cholecystectomy

et al. 2003

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“…The reported incidence of common bile duct stones (CBDS) varies between 7 and 20% [21,27,28,40]. Management of suspected choledocholithiasis is changing with the rapid acceptance of laparoscopic cholecystectomy (LC) as the conventional method for treatment of patients with symptomatic gallstones [28,31].…”

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confidence: 99%

Scoring system to predict asymptomatic choledocholithiasis before laparoscopic cholecystectomy

et al. 2003

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“…The incidence of unsuspected stones in the CBD of patients with cholecystolithiasis reaches 15% [17]. The treatment of patients with CBDS is controversial.…”

Section: Discussionmentioning

confidence: 99%

Short-versus long-sequence MRI cholangiography for the preoperative imaging of the common bile duct in patients with cholecystolithiasis

Shamiyeh¹,

Lindner

Danis³

et al. 2005

Surg Endosc

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“…This further development varies from country to country, and it is most likely that in places such as the Netherlands, Belgium and Germany where the ERCP technique is deeply rooted in daily practice, policy will change very slowly in the coming years. Prospective randomized protocols will help to solve this dilemma [12, 21, 22]. …”

Section: Discussionmentioning

confidence: 99%

“…The ERCP is performed either peroperatively or postoperatively with ES [10, 11, 12, 13, 14, 15, 16, 17]. …”

Section: Discussionmentioning

confidence: 99%

Preoperative ERCP Approach to Common Bile Duct Stones:Results of a Selective Policy

Rijna

Kemps²,

Eijsbouts³

et al. 2000

Dig Surg

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Background: In a previous study, we made a plea for more selective indications for preoperative ERCP in patients with gallstones based on the results obtained from a liberal policy. Following 3.5 years of implementing this selective policy, a report on the results are presented here. This study was performed in a referral academic hospital. Methods: Between June 1994 and December 1997, 328 patients underwent cholecystectomy because of symptomatic cholelithiasis. Absolute indications for preoperative ERCP were: acute cholangitis (4 patients); obstructive jaundice (22 patients); gallstone pancreatitis (within the first 24 h in 14 patients), and wide common bile duct (CBD, >8 mm) with suspicion of stones in the biliary tree (2 patients). Results: In 42 patients (12.8%) a preoperative ERCP was performed for these indications. Stones were found in the CBD in 30 patients and edema in the papilla in 2 patients (total 76.2%). The stones could be extracted by endoscopic sphincterotomy in 24 of the 30 patients (80%). Complications were seen in 7 patients (16.7%). All these complications (bleeding of the papilla in 4 and mild pancreatitis in 3 patients) could be treated conservatively. During a mean follow-up of 2.5 years, CBD stones could be demonstrated postoperatively in 3 patients (0.3%). No mortality was observed in this series. Conclusions: The results of this selective policy included the expected outcome of a significant reduction in the number of ERCPs performed from 29 to 12.8% (p < 0.001, χ² test) and a better yield of stones, from 29 to 76.2% of the patients. The mortality of the procedure decreased from 2 to 0% whereas morbidity remained the same. This selective policy seems adequate for the preoperative assessment of CBD stones.

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Common bile duct stones: A controversy revisited

Cited by 24 publications

References 29 publications

Scoring system to predict asymptomatic choledocholithiasis before laparoscopic cholecystectomy

Scoring system to predict asymptomatic choledocholithiasis before laparoscopic cholecystectomy

Short-versus long-sequence MRI cholangiography for the preoperative imaging of the common bile duct in patients with cholecystolithiasis

Preoperative ERCP Approach to Common Bile Duct Stones:Results of a Selective Policy

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