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Clinical Pictures of Common Bile Duct Stones

  • Jürgen Treckmann
  • Christoph E. Broelsch
  • Andreas Paul

Abstract

The clinical presentations of common bile duct stones (CBDS) can vary widely: patients with large impacted stones may present as asymptomatic, while other patients may be severely ill with cholangiogenic sepsis or necrotizing biliary pancreatitis due to small stones in the papilla of Vater. Sometimes clinical symptoms of CBDS are residual signs of spontaneous passage with complete clearance of the CBD and without the need for further therapy. In these times of laparoscopic cholecystectomy without routinely performed intraoperative cholangiography, preoperative diagnosis is more important especially because therapeutic splitting with preoperative endoscopic retrograde cholangiopancreatography (ERCP) and clearance of the CBD followed by laparoscopic cholecystectomy is the most frequently applied technique, at least in surveys in Scotland (96.2%) and Germany (94.2%) [1, 2].

Keywords

Laparoscopic Cholecystectomy Common Bile Duct Stone Biliary Pancreatitis Gallbladder Stone Spontaneous Passage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Jürgen Treckmann
    • 1
  • Christoph E. Broelsch
    • 1
  • Andreas Paul
    • 1
  1. 1.Clinic for General Visceral and Transplantation SurgeryUniversity Hospital of EssenEssenGermany

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