Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review
Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and seco...
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Wiley
2009-01-01
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Series: | Gastroenterology Research and Practice |
Online Access: | http://dx.doi.org/10.1155/2009/840208 |
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author | Abolfazl Shojaiefard Majid Esmaeilzadeh Ali Ghafouri Arianeb Mehrabi |
author_facet | Abolfazl Shojaiefard Majid Esmaeilzadeh Ali Ghafouri Arianeb Mehrabi |
author_sort | Abolfazl Shojaiefard |
collection | DOAJ |
description | Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the surgeons experience in laparoscopy. Endoscopic retrograde cholangiopancreatography with or without endoscopic biliary sphincterotomy, laparoscopic CBD exploration (transcystic or transcholedochal), or laparotomy with CBD exploration (by T-tube, C-tube insertion, or primary closure) are the most commonly used methods managing CBDS. We will review the pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities. |
format | Article |
id | doaj-art-70e38e57779d444c8f4ef5e68363bc0f |
institution | Kabale University |
issn | 1687-6121 1687-630X |
language | English |
publishDate | 2009-01-01 |
publisher | Wiley |
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series | Gastroenterology Research and Practice |
spelling | doaj-art-70e38e57779d444c8f4ef5e68363bc0f2025-02-03T01:32:40ZengWileyGastroenterology Research and Practice1687-61211687-630X2009-01-01200910.1155/2009/840208840208Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta ReviewAbolfazl Shojaiefard0Majid Esmaeilzadeh1Ali Ghafouri2Arianeb Mehrabi3Department of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, 69120 Heidelberg, GermanyCommon bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the surgeons experience in laparoscopy. Endoscopic retrograde cholangiopancreatography with or without endoscopic biliary sphincterotomy, laparoscopic CBD exploration (transcystic or transcholedochal), or laparotomy with CBD exploration (by T-tube, C-tube insertion, or primary closure) are the most commonly used methods managing CBDS. We will review the pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities.http://dx.doi.org/10.1155/2009/840208 |
spellingShingle | Abolfazl Shojaiefard Majid Esmaeilzadeh Ali Ghafouri Arianeb Mehrabi Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review Gastroenterology Research and Practice |
title | Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review |
title_full | Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review |
title_fullStr | Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review |
title_full_unstemmed | Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review |
title_short | Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review |
title_sort | various techniques for the surgical treatment of common bile duct stones a meta review |
url | http://dx.doi.org/10.1155/2009/840208 |
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