ERCP During Lap Chole Tied to Best Outcomes for Choledocholithiasis ERCP During Lap Chole Tied to Best Outcomes for Choledocholithiasis

For patients with gallstones in the common bile duct, a so-called rendezvous approach is associated with the highest rates of safety and success compared with three other techniques, researchers in Italy say.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Gastroenterology News Source Type: news

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CONCLUSIONS: In patients diagnosed with acute gallstone pancreatitis, it is reasonable to proceed directly to surgery using intraoperative cholangiography on the same admission as the definitive assessment of the common bile duct. This negates the need for magnetic resonance cholangiopancreatography and can translate into cost savings and reduced length of stay. PMID: 31155897 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Gallstone disease is a common clinical problem that leads to pancreatitis and cholangitis if left undiagnosed. Guidelines from the American Society for Gastrointestinal Endoscopy (ASGE) categorize patients with suspected choledocholithiasis (CDL) into 3 risk categories (low, intermediate, high) based on prognostic indicators. When compared to endoscopic ultrasound (EUS), these guidelines may result in unnecessary endoscopic retrograde cholangiopancreatographies (ERCPs) and associated complications.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Tuesday abstract Source Type: research
Gallstone disease affects more than 20 million Americans annually and up to 18 % undergoing cholecystectomy for gallstones have concomitant common bile duct stone(s) (BDS). Prior studies have demonstrated that existing societal risk stratification guidelines to predict the presence of BDS lack accuracy, leading to overutilization of ERCP. Improved stratification allows appropriate patient selection for ERCP and vis-a-vis lower risk modalities such as EUS, MRCP.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Saturday abstract Source Type: research
ERCP is recommended for patients considered high risk for choledocholithiasis after biochemical testing and abdominal US. We sought to assess the American Society for Gastrointestinal Endoscopy (ASGE) proposed strategy to assign risk of choledocholithiasis in patients with symptomatic cholelithiasis.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Saturday abstract Source Type: research
Publication date: May 2019Source: Journal of the American College of Radiology, Volume 16, Issue 5, SupplementAuthor(s): Expert Panel on Gastrointestinal Imaging:, Nicole M. Hindman, Hina Arif-Tiwari, Ihab R. Kamel, Waddah B. Al-Refaie, Twyla B. Bartel, Brooks D. Cash, Victoria Chernyak, Alan Goldstein, Joseph R. Grajo, Jeanne M. Horowitz, Aya Kamaya, Michelle M. McNamara, Kristin K. Porter, Pavan K. Srivastava, Atif Zaheer, Laura R. CarucciAbstractJaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types ...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research
ConclusionLap ECBD avoided ionizing radiation for choledocholithiasis during pregnancy, and can combined with LC as an effective minimally invasive procedure for complicated gallstone disease.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Each year choledocholithiasis results in biliary obstruction, cholangitis, and pancreatitis in a significant number of patients. The primary treatment, ERCP, is minimally invasive but associated with adverse events in 6% to 15%. This American Society for Gastrointestinal Endoscopy (ASGE) Standard of Practice (SOP) Guideline provides evidence-based recommendations for the endoscopic evaluation and treatment of choledocholithiasis. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to rigorously review and synthesize the contemporary literature regarding the following topics: EUS...
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Guideline Source Type: research
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Posters Source Type: research
Authors: Niccoli Asabella A, Altini C, Nappi AG, Lavelli V, Ferrari C, Marzullo A, Loiodice A, Rubini G Abstract Sickle cell disease (SCD) is the best known haemoglobinopathy, caused by a mutation substituting valina for glutamic acid at position 6 of the beta-globin chain of adult hemoglobin A, resulting in hemoglobin S (HbS). The homozygous HbS disease (HbSS), an autosomal recessive disorder, is the most common form and the Mediterranean area, along with sub-Saharian African and India, have the highest prevalence (1%-15%). In particular, Sicily with a prevalence of 2%-5%, is among the most interested regions. How...
Source: Hellenic Journal of Nuclear Medicine - Category: Nuclear Medicine Tags: Hell J Nucl Med Source Type: research
Authors: García-Cano J, Domper F Abstract The authors analyze what should be the best approach to treat patients who had concomitant gallstones and common bile duct stones (CBDS). Laparoscopic common bile duct exploration (LCBDE) appears to be an atractive way to cure all kind of biliary stones in a single procedure. However, when scientific literature is reviewed most patients continue to need from ERCP for CBDS removal. ERCP can be performed before, after or during the same LC procedure. Patients with LCBDE had less pancreatitis rate because the Papilla of Vater is not manipulated but more bile leaks. Larg...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
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