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Diagnosis and treatment of common bile duct stones (CBDS) Results of a consensus development conference

التفاصيل البيبلوغرافية
العنوان: Diagnosis and treatment of common bile duct stones (CBDS) Results of a consensus development conference
المؤلفون: J. C. Berthou, J. E. Dominguez-Muñoz, Yaman Tekant, R. C. G. Russell, B. Millat, U. Holthausen, E. Lezoche, P. Spinelli, Jacques Perissat, M. A. Röthlin, Edmund Neugebauer, H.-J. Brambs, P. Rossi, L. E. Hammarström, Stefan Sauerland, A. Paul, P. Goh
المصدر: Surgical Endoscopy. 12:856-864
بيانات النشر: Springer Science and Business Media LLC, 1998.
سنة النشر: 1998
مصطلحات موضوعية: medicine.medical_specialty, medicine.diagnostic_test, Common bile duct, business.industry, Bile duct, Gallbladder, General surgery, Open surgery, medicine.medical_treatment, Endoscopy, medicine.anatomical_structure, medicine, Surgery, Cholecystectomy, Consensus development, business, Abdominal surgery
الوصف: Background: Common bile duct stones (CBDS) are a frequent problem (10–15%) in patients with symptomatic cholecystolithiasis. Over the last decade, new diagnostic and surgical techniques have expanded the options for their management. This report of the Consensus Development Conference is intended to summarize the current state of the art, including principal guidelines and an extensive review of the literature. Methods: An international panel of 12 experts met under the auspices of the European Association of Endoscopic Surgery (EAES) to investigate the diagnostic and therapeutic alternatives for gallstone disease. Prior to the conference, all the experts were asked to submit their arguments in the form of published results. All papers received were weighted according to their scientific quality and relevance. The preconsensus document compiled out of this correspondence was altered following a discussion of the external evidence made available by the panel members and presented at the public conference session. The personal experiences of the participants and other aspects of individualized therapy were also considered. Results: Our panel of experts agreed that the presence of common bile duct stones should be investigated in all patients with symptomatic cholecystolithiasis. Based on preoperative noninvasive diagnostics, either endoscopic retrograde cholangiopancreaticography (ERCP) or intraoperative cholangiography should be employed for detecting CBDS. Eight of the 12 panelists recommended treating any diagnosed CBDS. For patients with no other extenuating circumstances, several treatment options exist. Stones can be extracted during ERCP, or either before or (in exceptional cases) after laparoscopic or open surgery. Bile duct clearance should always be combined with cholecystectomy. Evidence for further special aspects of CBDS treatment is equivocal and drawn from nonrandomized trials only. Conclusions: The management of common bile duct stones is currently undergoing some major changes. Many diagnostic and therapeutic strategies need further study.
تدمد: 1432-2218
0930-2794
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::fc8e732c64107734ad2011446eeaf9d7
https://doi.org/10.1007/s004649900729
حقوق: CLOSED
رقم الأكسشن: edsair.doi...........fc8e732c64107734ad2011446eeaf9d7
قاعدة البيانات: OpenAIRE
الوصف
تدمد:14322218
09302794