Diagnose und Behandlung der Choledocholithiasis: eine aktuelle Ubersicht und das Berner Konzept [Diagnosis and treatment of common bile duct stones: a current review and the Berne concept]

Details

Serval ID
serval:BIB_6E9561D0C2BF
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Diagnose und Behandlung der Choledocholithiasis: eine aktuelle Ubersicht und das Berner Konzept [Diagnosis and treatment of common bile duct stones: a current review and the Berne concept]
Journal
Schweizerische medizinische Wochenschrift
Author(s)
Schäfer M., Krähenbühl L., Büchler M.W.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
24/04/1999
Peer-reviewed
Oui
Volume
129
Number
16
Pages
624-630
Language
german
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The prevalence of common bile duct stones increases with age. Whereas patients under 60 show a prevalence of 8-15%, the rate increases up to 15-60% > 60 years. The main goal of optimal preoperative diagnosis and treatment of bile duct stones is to avoid unnecessary and negative investigations and to decrease the rate of retained/missed stones. Anamnestic and clinical pointers, laboratory findings and "simple" radiological examinations (ultrasonography, intravenous cholangiography) allow selective preoperative ERCP. The reported clearance rates for ERCP are as high as 95%, with a morbidity and mortality of 3-15% and 0.2-2.5% respectively. Only after endoscopic stone removal should laparoscopic cholecystectomy be added. Laparoscopic bile duct exploration is technically demanding and offers no objective advantages compared to ERCP.
Keywords
Cholangiography/trends, Gallstones/diagnosis, Gallstones/diagnostic imaging, Gallstones/therapy, Humans, Laparoscopy/trends, Ultrasonography
Pubmed
Web of science
Create date
11/12/2018 12:42
Last modification date
20/08/2019 15:27
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