Endoscopic Retrograde Cholangiopancreatography for the Management of Common Bile Duct Stones and Gallstone Pancreatitis - 01/10/15

Résumé |
Biliary disease is a common cause of acute pancreatitis. Risk stratification for persistent pancreatobiliary obstruction is important for selecting a treatment approach. Most common bile duct stones are extracted with standard endoscopic techniques. However, prior foregut surgery, stones with extreme morphologic attributes, and at difficult positions within the biliary system are technically challenging and predict a need for advanced biliary endoscopic techniques. Surgical common bile duct exploration at the time of cholecystectomy is appropriate in centers with experience. We outline the options and approach for the clinician to successfully identify and manage patients with symptomatic choledocholithiasis with or without biliary pancreatitis.
Le texte complet de cet article est disponible en PDF.Keywords : Choledocholithiasis, Cholangitis, Biliary pancreatitis, Lithotripsy, Electrohydraulic lithotripsy, Balloon dilation
Plan
Disclosures: None relevant to this article. |
Vol 25 - N° 4
P. 657-675 - octobre 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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