Updated guideline on the management of common bile duct stones (CBDS)

被引:560
作者
Williams, Earl [1 ]
Beckingham, Ian [2 ]
El Sayed, Ghassan [1 ]
Gurusamy, Kurinchi [3 ]
Sturgess, Richard [4 ]
Webster, George [5 ]
Young, Tudor [6 ]
机构
[1] Royal Bournemouth & Christchurch NHS Hosp Trust, Bournemouth Digest Dis Ctr, Bournemouth, Dorset, England
[2] Nottingham Univ Hosp NHS Trust, HPB Serv, Nottingham, England
[3] UCL, Sch Med, Dept Surg, London, England
[4] Aintree Univ Hosp Liverpool, Aintree Digest Dis Unit, Liverpool, Merseyside, England
[5] Univ Coll Hosp, Dept Hepatopancreatobiliary Med, London, England
[6] Princess Wales Hosp, Dept Radiol, Bridgend, England
关键词
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; MAGNETIC-RESONANCE CHOLANGIOPANCREATOGRAPHY; POST-ERCP PANCREATITIS; GALLBLADDER IN-SITU; TERM-FOLLOW-UP; SINGLE-OPERATOR CHOLANGIOSCOPY; PAPILLARY BALLOON DILATATION; HIGH-RISK PATIENTS; Y GASTRIC BYPASS; INTRAOPERATIVE CHOLANGIOGRAPHY;
D O I
10.1136/gutjnl-2016-312317
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Common bile duct stones (CBDS) are estimated to be present in 10-20% of individuals with symptomatic gallstones. They can result in a number of health problems, including pain, jaundice, infection and acute pancreatitis. A variety of imaging modalities can be employed to identify the condition, while management of confirmed cases of CBDS may involve endoscopic retrograde cholangiopancreatography, surgery and radiological methods of stone extraction. Clinicians are therefore confronted with a number of potentially valid options to diagnose and treat individuals with suspected CBDS. The British Society of Gastroenterology first published a guideline on the management of CBDS in 2008. Since then a number of developments in management have occurred along with further systematic reviews of the available evidence. The following recommendations reflect these changes and provide updated guidance to healthcare professionals who are involved in the care of adult patients with suspected or proven CBDS. It is not a protocol and the recommendations contained within should not replace individual clinical judgement.
引用
收藏
页码:765 / 782
页数:18
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