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Obstructive Jaundice and Cholangitis

  • Thomas G. Wilson
Chapter

Abstract

The most serious complications of gallstone disease occur when the bile duct is affected by stone disease. Stones that migrate to the bile duct carry the risk of causing biliary obstruction with the potentially more serious complications of acute biliary pancreatitis (Chap. 8) and cholangitis. Between 10% and 18% of patients having cholecystectomy for gallstones will be found to have bile duct stones [1]. However, many patients with bile duct stones are asymptomatic. In these patients pre-operative findings of abnormal liver function tests or a dilated bile duct on ultrasound may be the only clue that duct stones are present (Chap. 6).

References

  1. 1.
    Dasari B, Tan C, Gurusamy K, et al. Surgical versus endoscopic treatment of bile duct stones (review). Cochrane Database Syst Rev. 2013;12:CD003327.Google Scholar
  2. 2.
    Nagaraja V, Eslick G, Cox M. Systematic review and meta-analysis of minimally invasive techniques for the management of cholecysto-choledocholithiasis. J Hepatobiliary Pancreat Sci. 2014;21(12):896–901.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Poh B, Cashin P, Bowers K, et al. Management of choledocholithiasis in an emergency cohort undergoing laparoscopic cholecystectomy: a single-centre experience. HPB. 2014;16(7):629–34.CrossRefPubMedGoogle Scholar
  4. 4.
    Sajid M, Leaver C, Haider Z, et al. Routine on-table cholangiography during cholecystectomy: a systematic review. Ann R Coll Surg Engl. 2012;94(6):375–80.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Buddingh K, Weersma R, Savenije R, et al. Lower rate of major bile duct injury and increased intraoperative management of common bile duct stones after implementation of routine intraoperative cholangiography. J Am Coll Surg. 2011;213(2):267–74.CrossRefPubMedGoogle Scholar
  6. 6.
    Ford J, Soop M, Du J, et al. Systematic review of intraoperative cholangiography in cholecystectomy. Br J Surg. 2012;99(2):160–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Horwood J, Akbar F, Davis K, et al. Prospective evaluation of a selective approach to cholangiography for suspected common bile duct stones. Ann R Coll Surg Engl. 2010;92(3):206–10.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Metcalfe M, Ong T, Bruening M, et al. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Cox M, Budge J, Eslick G. Timing and nature of presentation of unsuspected retained common bile duct stones after laparoscopic cholecystectomy: a retrospective study. Surg Endosc. 2015;29(7):2033–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Gurusamy K, Giljaca V, Takwoingi Y, et al. Ultrasound versus liver function tests for diagnosis of common bile duct stones [review]. Cochrane Database Syst Rev. 2015;2:CD011548.Google Scholar
  11. 11.
    Fanelli R, Gersin K. Laparoscopic endobiliary stenting: a simplified approach to the management of occult common bile duct stones. J Gastrointest Surg. 2001;5:74–80.CrossRefPubMedGoogle Scholar
  12. 12.
    Martin C, Cox M, Vaccaro L. Laparoscopic transcystic bile duct stenting in the management of common bile duct stones. ANZ J Surg. 2002;72(4):258–64.CrossRefPubMedGoogle Scholar
  13. 13.
    Charcot M. De la fievre hepatique symptomatique. Comparison avec la fievre uroseptique. Lecons sur les maladies du foie des voies biliares et des reins. Paris: Bourneville et Sevestre; 1877. p. 176–85.Google Scholar
  14. 14.
    Wada K, Takada T, Kawarada Y, et al. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg. 2007;14:52–8.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Kiriyama S, Takada T, Strasberg S, et al. TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20(1):24–34.CrossRefPubMedGoogle Scholar
  16. 16.
    Pitt HA, Longmire WP. Suppurative cholangitis. In: Hardy JM, editor. Critical surgical illness. 2nd ed. Philadelphia, PA: Saunders; 1980. p. 380.Google Scholar
  17. 17.
    Reynolds BM, Dargan EL. Acute obstructive cholangitis. A distinct syndrome. Ann Surg. 1959;150:299–303.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Lai EC, Mok FP, Tan ES, et al. Endoscopic biliary drainage for severe acute cholangitis. N Engl J Med. 1992;326:1582–6.CrossRefPubMedGoogle Scholar
  19. 19.
    Itoi T, Tsuyuguchi T, Takada T, et al. TG13 indications and techniques for biliary drainage in acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20:71–80.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Iwashita T, Doi S, Yasuda I. Endoscopic ultrasound-guided biliary drainage: a review. Clin J Gastroenterol. 2014;7:94–102.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Zhu B, Wang Y, Gong K, et al. Comparison of emergent versus elective laparoscopic common bile duct exploration for patients with or without nonsevere acute cholangitis complicated with common bile duct stones. J Surg Res. 2014;187(1):72–6.CrossRefPubMedGoogle Scholar
  22. 22.
    McAlister VC, Davenport E, Renouf E. Cholecystectomy deferral in patients with endoscopic sphincterotomy [review]. Cochrane Database Syst Rev. 2007;4:CD006233.Google Scholar
  23. 23.
    Yasui T, Takahata S, Kono H, et al. Is cholecystectomy necessary after endoscopic treatment of bile duct stones in patients older than 80 years of age? J Gastroenterol. 2012;47:65–70.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Flinders Medical CenterAdelaideAustralia

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