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KMID : 0985520130180040006
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 4 p.6 ~ p.12
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Clinical Practice Guidelines for Common bile duct stones : The evaluation of CBD stones
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Kim Yong-Seok
Choi Yong-Woo
Kim Tae-Hyun
Lee Tae-Hoon
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Abstract
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Choledocholithiasis is the presence of at least one gallstone in the common bile duct.Symptoms may be variable ranging from asymptomatic to complications such as cholangitis, sepsis, pancreatitis. Wherever patients have symptoms and investigation suggests ductal stones, extraction should be performed if possible. The approach to patients with suspected choledocholithiasis requires careful consideration because missed common bile duct stones pose a risk of complication. Under these circumstance, guidelines have been prepared in some countries and these criteria are now being evaluated. In this review, we are going to suggest the guideline of Korean Pancreatobiliay Association for adequate diagnosis and risk stratification of common bile duct stones.
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KEYWORD
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common bile duct stone, diagnosis, guideline
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