RT Journal Article
SR Electronic
T1 Updated guideline on the management of common bile duct stones (CBDS)
JF Gut
JO Gut
FD BMJ Publishing Group Ltd and British Society of Gastroenterology
SP 765
OP 782
DO 10.1136/gutjnl-2016-312317
VO 66
IS 5
A1 Earl Williams
A1 Ian Beckingham
A1 Ghassan El Sayed
A1 Kurinchi Gurusamy
A1 Richard Sturgess
A1 George Webster
A1 Tudor Young
YR 2017
UL http://gut.bmj.com/content/66/5/765.abstract
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.