Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Acute biliary pancreatitis, endoscopy, and laparoscopy.

F Borie1, A Fingerhut, B Millat

  • 1Department of Visceral Surgery A, Hôpital Saint-Eloi, University Hospital Center Montpellier, Avenue Augustin Fliche 80, F-34295 Montpellier Cedex 5, France.

Surgical Endoscopy
|March 13, 2003
PubMed
Summary

Current guidelines for common bile duct stones lack evidence. Acute biliary pancreatitis (ABP) management often involves unnecessary endoscopic procedures, while laparoscopic common bile duct exploration is underutilized.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Trial sequential analysis in evaluation of clinical guidelines (midline incisional hernia model)].

Khirurgiia·2026
Same author

Minimally invasive approach for retrorectal tumors above and below S3: a multicentric tertiary center retrospective study (MiaRT study).

Techniques in coloproctology·2024
Same author

Technique of intragastric laparoscopic resection for gastrointestinal stromal tumor (with video).

Journal of visceral surgery·2021
Same author

Video assisted thoracoscopy or laparoscopy for enucleation of esophageal leiomyoma: A seven-year single center experience of 75 cases.

Journal of visceral surgery·2021
Same author

Omentoplasty decreases deep organ space surgical site infection compared with external tube drainage after conservative surgery for hepatic cystic echinococcosis: Meta-analysis with a meta-regression.

Journal of visceral surgery·2021
Same author

Trans-anal total mesorectal excision - reflections on the introduction of a new procedure.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2020

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Evidence-Based Medicine

Background:

  • Current diagnosis and treatment of common bile duct stones lack robust evidence.
  • Acute biliary pancreatitis (ABP) management is often characterized by overuse or misuse of endoscopic retrograde cholangiopancreatography (ERCP).
  • Pancreatitis severity is an unreliable indicator for the presence of choledocholithiasis.

Purpose of the Study:

  • To evaluate the evidence base for current practices in diagnosing and treating common bile duct stones.
  • To assess the appropriate utilization of endoscopic procedures in acute biliary pancreatitis.
  • To highlight the potential of laparoscopic common bile duct exploration as a primary treatment modality.

Main Methods:

  • Review of current literature and clinical guidelines regarding common bile duct stones and acute biliary pancreatitis.

Related Experiment Videos

  • Analysis of the diagnostic accuracy of pancreatitis as a marker for choledocholithiasis.
  • Evaluation of prognostic systems for identifying patients with ABP who do not require aggressive intervention.
  • Assessment of the efficacy and indications for laparoscopic common bile duct exploration.

    • Main Results:

    • Existing practices for common bile duct stones are not evidence-based.
    • Endoscopic procedures are frequently overused or misused in cases of ABP.
    • Prognostic systems effectively identify ABP patients who can avoid invasive procedures.
    • Laparoscopic common bile duct exploration is an underutilized but effective treatment for choledocholithiasis.

    Conclusions:

    • Patients with benign ABP do not necessitate an endoscopic approach.
    • Laparoscopic common bile duct exploration should be considered a primary treatment for choledocholithiasis.
    • Further research is needed on laparoscopic approaches for infected necrotic collections and pseudocysts.