Choledocholithiasis in the Setting of Portal Hypertension.
The successful management of biliary lithiasis in patients with cirrhosis depends on the degree of liver dysfunction. Patients with Child-Pugh class A or B hepatic reserve have excellent prognoses. Endoscopic spincterotomy is first-choice treatment for cirrhotic patients with choledocholithiasis. Endoscopic sphincterotomy can be performed in patients with Child-Pugh class A, B, or C hepatic function. Medical treatment with contact solvents is contraindicated in patients with pigment stones or calcified stones.
Sierra
Yajaira
Y
Division of Gastroenterology, University of Texas Medical Branch at Galveston, 301 University Boulevard, 4.106 McCullough Building, Galveston, TX 77555-0764, USA. irwaxman@utmb.edu
Waxman
Irving
I