scholarly journals Is addition of endoscopic sphincterotomy before endoscopic biliary drainage necessary for acute cholangitis as a result of common bile duct stones?

2017 ◽  
Vol 29 ◽  
pp. 100-100
Author(s):  
Azumi Suzuki ◽  
Koji Uno ◽  
Kiyohito Tanaka
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
Endoscopic Sphincterotomy ◽  
Acute Cholangitis ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Endoscopic Biliary Drainage

scholarly journals Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline

Endoscopy ◽  
2019 ◽  
Vol 51 (05) ◽  
pp. 472-491 ◽  
Author(s):  
Gianpiero Manes ◽  
Gregorios Paspatis ◽  
Lars Aabakken ◽  
Andrea Anderloni ◽  
Marianna Arvanitakis ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
Acute Cholangitis ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Abdominal Ultrasonography ◽  
Strong Recommendation ◽  
Moderate Quality ◽  
Quality Evidence

Main RecommendationsESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention.Strong recommendation, low quality evidence.ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones.Strong recommendation, moderate quality evidence.ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography.Strong recommendation, moderate quality evidence.ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines:– severe, as soon as possible and within 12 hours for patients with septic shock– moderate, within 48 – 72 hours– mild, elective.Strong recommendation, low quality evidence.ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage.Strong recommendation, moderate quality of evidence.ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence.ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones.Strong recommendation, moderate quality evidence.ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.

Reappraisal of safety of endoscopic sphincterotomy for common bile duct stones in the elderly

1995 ◽  
Vol 170 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Georgi P Deenitchin ◽  
Hiroyuki Konomi ◽  
Hiroshi Kimura ◽  
Yoshiaki Ogawa ◽  
Gen Naritomi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Common Bile Duct Stones ◽  
The Elderly ◽  
Bile Duct Stones

scholarly journals Laparoscopic Management of Common Bile Duct Stones: Transpapillary Stenting or External Biliary Drainage?

2014 ◽  
Vol 18 (4) ◽  
pp. e2014.00277 ◽  
Author(s):  
Agustin Dietrich ◽  
Fernando Alvarez ◽  
Nicolas Resio ◽  
Oscar Mazza ◽  
Eduardo de Santibañes ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Laparoscopic Management ◽  
External Biliary Drainage

4633 Endoscopic sphincterotomy for common bile duct stones: long-term follow-up and risk analysis for recurrence.

2000 ◽  
Vol 51 (4) ◽  
pp. AB189
Author(s):  
Guido Costamagna ◽  
Andrea Tringali ◽  
Massimiliano Mutignani ◽  
Vincenzo Perri ◽  
Giuseppe Zuccala’
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Risk Analysis ◽  
Endoscopic Sphincterotomy ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Long Term Follow Up
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