your limit has been reached. plz Donate us to allow your ip full access, Email: sshnevis@outlook.com
Uptodate Reference Title
Suggested approach for the evaluation and management of suspected choledocholithiasis[1]
Suggested approach for the evaluation and management of suspected choledocholithiasis[1]
CBD: common bile duct; ERCP: endoscopic retrograde cholangiopancreatogram; EUS: endoscopic ultrasound; IOC: intraoperative cholangiogram; MRCP: magnetic resonance cholangiopancreatogram. * A common bile duct measuring more than 6 mm in a patient with a gallbladder in situ and more than 8 mm in those that have had a cholecystectomy. ¶ Refer to UpToDate content on surgical common bile duct exploration and acute pancreatitis. Δ If no stone is visualized on MRCP but suspicion for a CBD stone remains moderate to high (eg, in a patient whose laboratory tests are not improving), EUS is an appropriate next step. ◊ Cholecystectomy with intraoperative cholangiography or intraoperative ultrasonography is an alternative strategy. § Decision is based on available expertise.
References:
ASGE Standards of Practice Committee, Buxbaum JL, Abbas Fehmi SM, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc 2019; 89:1075.
