PT  - JOURNAL ARTICLE
AU  - Earl Williams
AU  - Ian Beckingham
AU  - Ghassan El Sayed
AU  - Kurinchi Gurusamy
AU  - Richard Sturgess
AU  - George Webster
AU  - Tudor Young
TI  - Updated guideline on the management of common bile duct stones (CBDS)
AID  - 10.1136/gutjnl-2016-312317
DP  - 2017 May 01
TA  - Gut
PG  - 765--782
VI  - 66
IP  - 5
4099  - http://gut.bmj.com/content/66/5/765.short
4100  - http://gut.bmj.com/content/66/5/765.full
SO  - Gut2017 May 01; 66
AB  - 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.