ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis

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 versus MRCP for diagnosis, the role of early ERCP in gallstone pancreatitis, endoscopic papillary dilation after sphincterotomy versus sphincterotomy alone for large bile duct stones, and impact of ERCP-guided intraductal therapy for large and difficult choledocholithiasis.

Source: Gastrointestinal Endoscopy - April 8, 2019 Category: Gastroenterology Authors: ASGE Standards of Practice Committee, James L. Buxbaum, Syed M. Abbas Fehmi, Shahnaz Sultan, Douglas S. Fishman, Bashar J. Qumseya, Victoria K. Cortessis, Lynn Kysh, Lea Matsuoka, Patrick Yachimski, Deepak Agrawal, Suryakanth R. Gurudu, Laith H. Jamil, Te Tags: Guideline Source Type: research