Common bile duct stones (CBDS) are a frequent problem (10-15%) in patients with symptomatic cholecystolithiasis.
Over the last decade, new diagnostic and surgical techniques have expanded the options for their management.
This report of the Consensus Development Conference is intended to summarize the current state of the art, including principal guidelines and an extensive review of the literature.
An international panel of 12 experts met under the auspices of the European Association of Endoscopic Surgery (EAES) to investigate the diagnostic and therapeutic alternatives for gallstone disease.
Prior to the conference, all the experts were asked to submit their arguments in the form of published results.
All papers received were weighted according to their scientific quality and relevance.
The preconsensus document compiled out of this correspondence was altered following a discussion of the external evidence made available by the panel members and presented at the public conference session.
The personal experiences of the participants and other aspects of individualized therapy were also considered.
Our panel of experts agreed that the presence of common bile duct stones should be investigated in all patients with symptomatic cholecystolithiasis.
Based on preoperative noninvasive diagnostics, either endoscopic retrograde cholangiopancreaticography (ERCP) or intraoperative cholangiography should be employed for detecting CBDS. (...)
Mots-clés Pascal : Lithiase, Cholédoque, Diagnostic, Cholangiopancréatographie, Rétrograde, Endoscopie, Cholécystectomie, Indication, Voie abord, Article synthèse, Instruction, Homme, Vésicule biliaire, Appareil digestif pathologie, Voie biliaire pathologie, Radiodiagnostic, Chirurgie
Mots-clés Pascal anglais : Lithiasis, Choledoch, Diagnosis, Cholangiopancreatography, Retrograde, Endoscopy, Cholecystectomy, Indication, Surgical approach, Review, Instruction, Human, Gallbladder, Digestive diseases, Biliary tract disease, Radiodiagnosis, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0294828
Code Inist : 002B13C03. Création : 27/11/1998.