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Endoscopic Management of Common Bile Duct Stones

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Abstract

The management of patients with common bile duct stones was always challenging and the introduction of endoscopic retrograde cholangiopancreatography (ERCP), three decades ago, had a major influence in the overall treatment. The profound advantages of ERCP vs open or laparoscopic surgery, established it as the predominant method for the treatment of choledocholithiasis. Endoscopic sphincterotomy of the main duodenal papilla, in combination with a number of older and innovative techniques for stone fragmentation and extraction, is nowadays considered the cornerstone of the endoscopic treatment for patients with common bile duct stones. Recent advances in radiologic imaging, such as magnetic resonance cholangiopancreatography (MRCP) and laparoscopic surgery are struggling to compete with ERCP, however ERCP continues to be a first line method in treating choledocholithiasis

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Goumas, K., Poulou, A. (2006). Endoscopic Management of Common Bile Duct Stones. In: Karaliotas, C.C., Broelsch, C.E., Habib, N.A. (eds) Liver and Biliary Tract Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-49277-2_17

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  • DOI: https://doi.org/10.1007/978-3-211-49277-2_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-49275-8

  • Online ISBN: 978-3-211-49277-2

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