The best approach to treat concomitant gallstones and common bile duct stones. Is ERCP still needed?

The best approach to treat concomitant gallstones and common bile duct stones. Is ERCP still needed? Rev Esp Enferm Dig. 2019 Feb 25;111: 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. Large CBDS continue to need, in general, from ERCP techniques. PMID: 30799627 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research