Updated guideline on the management of common bile duct stones (CBDS)
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, whil...
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| Veröffentlicht in: | Gut 2017-05, Vol.66 (5), p.765-782 |
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| container_title | Gut |
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| creator | Williams, Earl Beckingham, Ian El Sayed, Ghassan Gurusamy, Kurinchi Sturgess, Richard Webster, George Young, Tudor |
| description | 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. |
| doi_str_mv | 10.1136/gutjnl-2016-312317 |
| format | Article |
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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.</description><identifier>ISSN: 0017-5749</identifier><identifier>EISSN: 1468-3288</identifier><identifier>DOI: 10.1136/gutjnl-2016-312317</identifier><identifier>PMID: 28122906</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Algorithms ; Anticoagulants ; Bile ; Bile ducts ; Calculi ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangiopancreatography, Magnetic Resonance ; Cholangitis - etiology ; Cholangitis - therapy ; Cholecystectomy ; Disease management ; Endoscopy ; Endosonography ; Gallstones ; Gallstones - complications ; Gallstones - diagnostic imaging ; Gallstones - surgery ; Gallstones - therapy ; Gastroenterology ; Humans ; Jaundice ; Laparoscopy ; Lithotripsy ; Ostomy ; Pain ; Pancreatitis ; Pancreatitis - etiology ; Pancreatitis - prevention & control ; Pancreatitis - therapy ; Patients ; Quality ; Sphincterotomy, Endoscopic ; Stents ; Surgery ; Ultrasonic imaging</subject><ispartof>Gut, 2017-05, Vol.66 (5), p.765-782</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b446t-1dc279624b65edaf175e49c0ad7baa2cad0c79c9c4ee92f62d9eb515087a4eb3</citedby><cites>FETCH-LOGICAL-b446t-1dc279624b65edaf175e49c0ad7baa2cad0c79c9c4ee92f62d9eb515087a4eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28122906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Earl</creatorcontrib><creatorcontrib>Beckingham, Ian</creatorcontrib><creatorcontrib>El Sayed, Ghassan</creatorcontrib><creatorcontrib>Gurusamy, Kurinchi</creatorcontrib><creatorcontrib>Sturgess, Richard</creatorcontrib><creatorcontrib>Webster, George</creatorcontrib><creatorcontrib>Young, Tudor</creatorcontrib><title>Updated guideline on the management of common bile duct stones (CBDS)</title><title>Gut</title><addtitle>Gut</addtitle><description>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.</description><subject>Algorithms</subject><subject>Anticoagulants</subject><subject>Bile</subject><subject>Bile ducts</subject><subject>Calculi</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangiopancreatography, Magnetic Resonance</subject><subject>Cholangitis - etiology</subject><subject>Cholangitis - therapy</subject><subject>Cholecystectomy</subject><subject>Disease management</subject><subject>Endoscopy</subject><subject>Endosonography</subject><subject>Gallstones</subject><subject>Gallstones - complications</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>Gallstones - therapy</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Jaundice</subject><subject>Laparoscopy</subject><subject>Lithotripsy</subject><subject>Ostomy</subject><subject>Pain</subject><subject>Pancreatitis</subject><subject>Pancreatitis - etiology</subject><subject>Pancreatitis - prevention & control</subject><subject>Pancreatitis - therapy</subject><subject>Patients</subject><subject>Quality</subject><subject>Sphincterotomy, Endoscopic</subject><subject>Stents</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><issn>0017-5749</issn><issn>1468-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkblOxDAQhi0EguV4AQpkiQaKgK_4KGFZDmklCpbacuzJkijHEicFb09WWSioqKaY7_-lmQ-hc0puKOXydj30ZVMljFCZcMo4VXtoRoXUCWda76MZIVQlqRLmCB3HWBJCtDb0EB0xTRkzRM7Q4n0TXA8Br4ciQFU0gNsG9x-Aa9e4NdTQ9LjNsW_relxkRQU4DL7HsW8biPhqfv_wdn2KDnJXRTjbzRO0elys5s_J8vXpZX63TDIhZJ_Q4JkykolMphBcTlUKwnjigsqcY94F4pXxxgsAw3LJgoEspSnRygnI-Am6mmo3Xfs5QOxtXUQPVeUaaIdo6XidTqXg9B-oZExzbsyIXv5By3bomvEOy4jgPDXEqJFiE-W7NsYOcrvpitp1X5YSu9VhJx12q8NOOsbQxa56yGoIv5Gf_49AMgFZXf6n8BtbapPF</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Williams, Earl</creator><creator>Beckingham, Ian</creator><creator>El Sayed, Ghassan</creator><creator>Gurusamy, Kurinchi</creator><creator>Sturgess, Richard</creator><creator>Webster, George</creator><creator>Young, Tudor</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20170501</creationdate><title>Updated guideline on the management of common bile duct stones (CBDS)</title><author>Williams, Earl ; Beckingham, Ian ; El Sayed, Ghassan ; Gurusamy, Kurinchi ; Sturgess, Richard ; Webster, George ; Young, Tudor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b446t-1dc279624b65edaf175e49c0ad7baa2cad0c79c9c4ee92f62d9eb515087a4eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Algorithms</topic><topic>Anticoagulants</topic><topic>Bile</topic><topic>Bile ducts</topic><topic>Calculi</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangiopancreatography, Magnetic Resonance</topic><topic>Cholangitis - etiology</topic><topic>Cholangitis - therapy</topic><topic>Cholecystectomy</topic><topic>Disease management</topic><topic>Endoscopy</topic><topic>Endosonography</topic><topic>Gallstones</topic><topic>Gallstones - complications</topic><topic>Gallstones - diagnostic imaging</topic><topic>Gallstones - surgery</topic><topic>Gallstones - therapy</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Jaundice</topic><topic>Laparoscopy</topic><topic>Lithotripsy</topic><topic>Ostomy</topic><topic>Pain</topic><topic>Pancreatitis</topic><topic>Pancreatitis - etiology</topic><topic>Pancreatitis - prevention & control</topic><topic>Pancreatitis - therapy</topic><topic>Patients</topic><topic>Quality</topic><topic>Sphincterotomy, Endoscopic</topic><topic>Stents</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, Earl</creatorcontrib><creatorcontrib>Beckingham, Ian</creatorcontrib><creatorcontrib>El Sayed, Ghassan</creatorcontrib><creatorcontrib>Gurusamy, Kurinchi</creatorcontrib><creatorcontrib>Sturgess, Richard</creatorcontrib><creatorcontrib>Webster, George</creatorcontrib><creatorcontrib>Young, Tudor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Gut</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, Earl</au><au>Beckingham, Ian</au><au>El Sayed, Ghassan</au><au>Gurusamy, Kurinchi</au><au>Sturgess, Richard</au><au>Webster, George</au><au>Young, Tudor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Updated guideline on the management of common bile duct stones (CBDS)</atitle><jtitle>Gut</jtitle><addtitle>Gut</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>66</volume><issue>5</issue><spage>765</spage><epage>782</epage><pages>765-782</pages><issn>0017-5749</issn><eissn>1468-3288</eissn><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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28122906</pmid><doi>10.1136/gutjnl-2016-312317</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Algorithms Anticoagulants Bile Bile ducts Calculi Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Magnetic Resonance Cholangitis - etiology Cholangitis - therapy Cholecystectomy Disease management Endoscopy Endosonography Gallstones Gallstones - complications Gallstones - diagnostic imaging Gallstones - surgery Gallstones - therapy Gastroenterology Humans Jaundice Laparoscopy Lithotripsy Ostomy Pain Pancreatitis Pancreatitis - etiology Pancreatitis - prevention & control Pancreatitis - therapy Patients Quality Sphincterotomy, Endoscopic Stents Surgery Ultrasonic imaging |
| title | Updated guideline on the management of common bile duct stones (CBDS) |
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