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KMID : 0985520130180040021
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 4 p.21 ~ p.28
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Clinical Practice Guidelines for Common Bile Duct Stones : The Endoscopic Management of Difficult and Recurrent Common Bile Duct Stones
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Hwang Jae-Chul
Koh Dong-Hee
Choi Hyun-Jong
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Abstract
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Endoscopic retrograde cholangiopancreatography and stone extraction are well-established therapeutic procedures for the treatment of common bile duct (CBD) stones. The endoscopic stone removal procedure involves extraction using various devices after endoscopic sphincterotomy (EST). Many reports state that at least 90% of stones are extracted after conventional EST. However, some cases are still difficult to treat. Despite apparently complete clearance of bile duct stones at endoscopic retrograde cholangiography, recurrent CBD stones developed in 3% to 15% of patients. We reviewed the guidelines currently enacted in United Kingdom, Europe and United Stated of America for the management of difficult and recurrent CBD stones. This guideline review suggests the guideline of Korean Pancreatobiliary Association for the endoscopic management of difficult and recurrent CBD stones.
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KEYWORD
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bile duct stone, endoscopic sphincterotomy, mechanical lithotripsy, electrohydraulic lithotripsy, laser lithotripsy
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