Updated Recommendations on Diagnosis and Management of Common Bile Duct Stones

The British Society of Gastroenterology updates its 2008 guideline.

Sponsoring Organization: British Society of Gastroenterology

Target Audience: Gastrointestinal endoscopists and surgeons

Background and Objective

The incidence of common bile duct stones (CBDS) is estimated to be 5% to 10% among patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis and 18% to 33% among patients with acute biliary pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction has been the first-line management strategy for CBDS. This British guideline updates evidence-based recommendations for CBDS management first published in 2008.

Key Recommendations

Use magnetic resonance cholangiopancreatography or endoscopic ultrasound, both highly recommended, in diagnosing CBDS in patie…

Reviewing Author

David A. Johnson, MD

Disclosures

Consultant/Advisory boardMedscape/WebMD; Pfizer; CRH Medical Corporation; Aries

EquityCRH Medical Corporation

Editorial boardsMedscape Gastroenterology

Leadership positions in professional societiesAmerican College of Gastroenterology Research Institute Board of Directors