[Current management of uncomplicated gallstones and choledocolithiasis].

Abstract

In case of clinical suspicion of symptomatic bile duct stones, percutaneous ultrasonography and liver function tests should be performed as a primary evaluation. In the absence of predictive factors of common bile duct stones, laparoscopic cholecystectomy represents the treatment of choice for symptomatic gallstones. In case of clinical, radiological or biochemical suspicion of common bile duct stones, endoultrasonography or magnetic resonance cholangiography are efficient to confirm choledocolithiasis. In this instance, surgical approach permits simultaneous treatment of both choledocolithiasis and cholecystolithiasis while endoscopic sphincterotomy has to be followed by secondary cholecystectomy in a 2-stage procedure. Laparoscopic common bile duct exploration should be preferred to endoscopic clearance of the common bile duct but requires specific equipment and surgical experience.

• Authors: Jean-Yves Mabrut, Christian Ducerf, Jacques Baulieux
• Journal: La Revue du praticien (Rev Prat) Vol. 57 Issue 19 Pg. 2123-8 (Dec 15 2007) ISSN: 0035-2640 [Print] France
• Vernacular Title: Prise en charge de la lithiase biliaire symptomatique en dehors de l'urgence.
• PMID: 18303789 (Publication Type: English Abstract, Journal Article, Review)

Topics

• Algorithms
• Choledocholithiasis (diagnosis, therapy)
• Gallstones (diagnosis, therapy)
• Humans