[Endoscopic retrograde cholangiography and endosonography. Respective indications in case of suspicion of common bile duct calculi].
The new methods for diagnosis and treatment of biliary lithiasis, including laparoscopic cholecystectomy, have encouraged work into new means of searching for a stone in the main bile duct. The management strategy for an individual patient can only be determined on the basis of the clinical situation and the relative expectations of the different diagnostic and therapeutic methods available. The current strategy does not take into consideration the contribution of magnetic resonance cholangiography which must be evaluated in comparison with endosonography. In general, when operative risk is moderate or low, endosonography is indicated, with or without sphincterotomy. In high-risk patients, endoscopic retrograde cholangiography would be indicated. Of course, this strategy depends on the facilities available and the experience of the surgical team. A self-assessment procedures will help determine the most cost-effective strategy.
Burtin
P
P
Boyer
J
J
D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D019160:Endosonography; D042882:Gallstones / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D012307:Risk Factors