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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Main Authors: Abolfazl Shojaiefard, Majid Esmaeilzadeh, Ali Ghafouri, Arianeb Mehrabi
Format: Article
Language:English
Published: Wiley 2009-01-01
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.
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institution Kabale University
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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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