October 30, 2024The Korean Journal of Pancreas and Biliary TractOpen Access

Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Common Bile Duct Stones: Endoscopic Management of Difficult Common Bile Duct Stones

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Authors

ECEunae ChoChonnam National University Hospital DJDong Kee JangSeoul National University SKSeong‐Hun KimGI Innovation (South Korea)

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Implication

Clinical practice guideline presents endoscopic treatment strategies in patients with difficult common bile duct stones, highlighting balloon dilation and lithotripsy.

Key Points

Endoscopic papillary large balloon dilation combined with limited endoscopic sphincterotomy is recommended as primary therapy for large common bile duct stones lacking stricture.
Electrohydraulic or laser lithotripsy under cholangioscopy is advised for difficult stones, while temporary biliary stenting provides effective drainage if initial clearance fails.
Clinical practice guideline recommendations indicate that percutaneous transhepatic cholangioscopy or enteroscopy enables effective stone clearance in surgically altered anatomy.

Cite This Study

Cho et al. (2024) studied this question.

synapsesocial.com/papers/6aacf2c7ad123388eee0fc45 https://doi.org/10.15279/kpba.2024.29.4.135

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Implication

Clinical practice guideline presents endoscopic treatment strategies in patients with difficult common bile duct stones, highlighting balloon dilation and lithotripsy.

Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Common Bile Duct Stones: Endoscopic Management of Difficult Common Bile Duct Stones

Discussion

Member takes

Implication

Key Points

Cite This Study

Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Common Bile Duct Stones: Endoscopic Management of Difficult Common Bile Duct Stones

Discussion

Member takes

Implication

Key Points

Cite This Study

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