Updated guideline on the management of common bile duct stones (CBDS)
Autor: | George Webster, Tudor Young, Earl J. Williams, Richard Sturgess, Kurinchi Selvan Gurusamy, Ian Beckingham, Ghassan El Sayed |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Cholangiopancreatography Magnetic Resonance Cholangitis medicine.medical_treatment Gallstones Endosonography Sphincterotomy Endoscopic 03 medical and health sciences 0302 clinical medicine medicine Humans Cholecystectomy Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry General surgery Hepatobiliary disease Gastroenterology Guideline Jaundice medicine.disease Surgery Systematic review medicine.anatomical_structure Pancreatitis 030220 oncology & carcinogenesis Laparoscopy Stents 030211 gastroenterology & hepatology medicine.symptom business Algorithms |
Zdroj: | Gut. 66:765-782 |
ISSN: | 1468-3288 0017-5749 |
Popis: | 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. |
Databáze: | OpenAIRE |
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