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[Treatment of choledocholithiasis]
1Abteilung für Gastroenterologie, Kantonsspital Basel.
Therapeutische Umschau. Revue Therapeutique
|April 18, 1998
Summary
Gallstones in the common bile duct (choledocholithiasis) affect 10-15% of patients with gallstones, increasing with age. Endoscopic retrograde cholangiography and sphincterotomy with extraction are standard treatments.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Gallstones in the common bile duct (choledocholithiasis) affect 10-15% of patients with cholecystolithiasis.
- The incidence of common bile duct stones increases with age, reaching up to 50% in some studies.
Purpose of the Study:
- To review the incidence, diagnosis, and management of common bile duct stones.
Main Methods:
- Diagnosis is typically established using endoscopic retrograde cholangiography (ERC).
- ERC can be performed preoperatively or intraoperatively during laparoscopic cholecystectomy.
Main Results:
- Endoscopic sphincterotomy followed by balloon or basket extraction is the preferred treatment.
- This approach effectively manages common bile duct stones.
Conclusions:
- Choledocholithiasis is a common complication of gallstone disease, particularly in older patients.
- Endoscopic retrograde cholangiography and endoscopic sphincterotomy with extraction are the gold standard for diagnosis and management.