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Suspected Common Bile Duct Stones (Algorithm)

  • Maximilian David SchneiderEmail author
Chapter
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Abstract

Common bile duct stones can be suspected in a patient presenting with biliary type colicky pain, elevated liver enzymes, jaundice, cholangitis or pancreatitis. Beside clinical features, laboratory evaluation and adequate abdominal imaging (primarily abdominal ultrasound) help to assess the likelihood for the presence of CBDS. Recent ESGE guidelines recommend direct ERCP in patients with visible stones or cholangitis only. In other cases (intermediate likelihood) EUS or MRCP before ERCP are recommended.

Abbreviations

CBDS

Common bile duct stone

CT

Computed tomography

EHL

Electrohydraulic lithotripsy

EPBD

Endoscopic papillary balloon dilation

ERCP

Endoscopic retrograde cholangiopancreatography

EST

Endoscopic sphincterotomy

EUS

Endoscopic ultrasound

LFTs

Liver function tests

LL

Laser lithotripsy

MRCP

Magnetic resonance cholangiopancreatography

PTCD

Percutaneous transhepatic cholangial drainage

US

Ultrasound

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Gastroenterology, Hepatology and EndocrinologyRobert-Bosch-HospitalStuttgartGermany

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