Evidence-based, cost-effective management of choledocholithiasis and cholangitis: An algorithm of the Journal of

Walter L Biffl1, Jacqueline Martinico Anderson, Hung Phu Truong

  • 1From the Division of Trauma/Acute Care Surgery (W.L.B., J.M.A., H.P.T.), Scripps Clinic/Scripps Clinic Medical Group, La Jolla, California; Division of Critical Care and Acute Care Surgery, Department of Surgery (T.W.C.), University of Minnesota Medical School, Minneapolis, Minnesota; Department of Surgery (J.D.J.), University of South Florida Morsani College of Medicine, Tampa, Florida; Trauma Surgery and Surgical Critical Care (K.I.), University of Southern California, Los Angeles, California; Department of Surgery (D.H.L.), University of Colorado-Anschutz, Aurora, Colorado; Department of Surgery (L.N.), University of Michigan School of Medicine, Ann Arbor, Michigan; Department of Surgery (A.S.), Brigham and Women's Hospital, Boston, Massachusetts; Department of Surgery (R.W.), Weill Cornell Medicine, New York, New York; and Riverside University Health System Medical Center (R.C.), Comparative Effectiveness and Clinical Outcomes Research Center (CECORC), Moreno Valley, California.

Abstract

No abstract available in PubMed .

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...