title: Modern management of common bile duct stones.
abstract: It is imperative for gastroenterologists to understand the different formations of bile duct stones and the various medical treatments available. To minimize the complications of endoscopic retrograde cholangiopancreatography (ERCP), it is critical to appropriately assess the risk of bile duct stones before intervention. Biliary endoscopists should be comfortable with the basic techniques of stone removal, including sphincterotomy, mechanical lithotripsy, and stent placement. It is important to be aware of advanced options, including laser and electrohydraulic stone fragmentation, and papillary dilatation for problematic cases. The timing and need for ERCP in those who require a cholecystectomy is also a consideration.
authors.affiliation: Division of Gastrointestinal and Liver Diseases, Keck School of Medicine, Los Angeles County Hospital, University of Southern California, Los Angeles, CA 90033-1370, USA. jbuxbaum@usc.edu
authors.forename: James
authors.initials: J
authors.lastname: Buxbaum
mesh_terms: D002756:Cholagogues and Choleretics / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D004106:Dilatation; D042882:Gallstones / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D018570:Risk Assessment; D016717:Sphincterotomy, Endoscopic / Q000379:methods; D015607:Stents
chemical_list: D002756:Cholagogues and Choleretics