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ERCP and EUS pp 79–94Cite as

Biliary Stones

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Abstract

Choledocholithiasis is a frequently encountered problem and is potentially associated with complications such as cholangitis, sepsis, and death. About 5–10 % of patients undergoing cholecystectomy for cholelithiasis and 18–33 % of patients with acute biliary pancreatitis have choledocholithiasis. Management is determined by risk stratification for the likelihood of finding common bile duct (CBD) stones using clinical parameters, liver tests, and imaging. Patients with very high or high probability of stones are managed by endoscopic retrograde cholangiopancreatography (ERCP). Patients with intermediate probability are further evaluated by magnetic resonance cholangiopancreatography (MRCP) or endoscopic ultrasound (EUS) to determine the need for ERCP.

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  1. Division of Gastroenterology, University of Arizona Health Sciences Center, 1501 N Campbell Ave, Tucson, AZ 85724, USA

    Hemanth K. Gavini MD, MPH & John T. Cunningham MD

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  1. Hemanth K. Gavini MD, MPH
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  2. John T. Cunningham MD
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Correspondence to John T. Cunningham MD .

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  1. Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Linda S. Lee

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Video 5.1 ERCP with electrohydraulic lithotripsy and balloon extraction of stone fragments from the common hepatic duct, CBD, and cystic duct

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Gavini, H., Cunningham, J. (2015). Biliary Stones. In: Lee, L. (eds) ERCP and EUS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2320-5_5

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