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Updated guideline on the management of common bile duct stones (CBDS)

Williams, E; Beckingham, I; El Sayed, G; Gurusamy, K; Sturgess, R; Webster, G; Young, T; (2017) Updated guideline on the management of common bile duct stones (CBDS). Gut , 66 (5) 10.1136/gutjnl-2016-312317. Green open access

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Abstract

Common bile duct stones (CBDS) are estimated to be present in 10-20% of individuals with symptomatic gallstones. They can result in a number of health problems, including pain, jaundice, infection and acute pancreatitis. A variety of imaging modalities can be employed to identify the condition, while management of confirmed cases of CBDS may involve endoscopic retrograde cholangiopancreatography, surgery and radiological methods of stone extraction. Clinicians are therefore confronted with a number of potentially valid options to diagnose and treat individuals with suspected CBDS. The British Society of Gastroenterology first published a guideline on the management of CBDS in 2008. Since then a number of developments in management have occurred along with further systematic reviews of the available evidence. The following recommendations reflect these changes and provide updated guidance to healthcare professionals who are involved in the care of adult patients with suspected or proven CBDS. It is not a protocol and the recommendations contained within should not replace individual clinical judgement.

Type: Article
Title: Updated guideline on the management of common bile duct stones (CBDS)
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/gutjnl-2016-312317
Publisher version: http://doi.org/10.1136/gutjnl-2016-312317
Language: English
Additional information: Copyright Article author (or their employer) 2017. Produced by BMJ Publishing Group Ltd (& BSG) under licence.
Keywords: ACUTE PANCREATITIS, BILIARY OBSTRUCTION, ENDOSCOPIC RETROGRADE PANCREATOGRAPHY, GALLSTONE DISEASE, HEPATOBILIARY DISEASE
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/1538408
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