Choledocholithiasis natural history, complications and prognosis: Difference between revisions
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{{Choledocholithiasis}} | {{Choledocholithiasis}} | ||
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{{CMG}}; {{AE}}[[Adenike Eketunde]] | |||
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==Overview== | ==Overview== | ||
==Natural History== | ==Natural History== | ||
The choledocholithiasis symptoms typically develop as a result of stone from the [[gallbladder]] blocking the [[common bile duct]] or from stone formation within the bile duct, usually asymptomatic. According to Wenckert et al., approximately 25–50% of patients with retained [[bile duct]] stones developed severe complications, mainly [[jaundice]] or [[pancreatitis]]. <ref name="pmid5905358">{{cite journal| author=Wenckert A, Robertson B| title=The natural course of gallstone disease: eleven-year review of 781 nonoperated cases. | journal=Gastroenterology | year= 1966 | volume= 50 | issue= 3 | pages= 376-81 | pmid=5905358 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=5905358 }} </ref> | |||
==Complications== | |||
*Biliary [[cirrhosis]] | |||
*[[Cholangitis]] | |||
*[[Pancreatitis]] | |||
*Acute [[cholelithiasis]] | |||
*[[Gallstones]] [[ileus]] | |||
==Prognosis== | ==Prognosis== | ||
Prognosis is generally not associated with increase mortality. However, the prognosis from complications such as [[pancreatitis]], [[cholangitis]], [[secondary biliary cirrhosis]] can be fatal. Blockage and [[infection]] caused by stones in the [[biliary tract]] can be life threatening. However, with prompt diagnosis and treatment, the outcome is usually very good. | |||
==References== | ==References== | ||
{{reflist|2}} | |||
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[[Category:Hepatology]] | |||
[[Category:Gastroenterology]] | |||
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{{WS}} | {{WS}} | ||
Latest revision as of 04:43, 29 December 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Adenike Eketunde
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Overview
Natural History
The choledocholithiasis symptoms typically develop as a result of stone from the gallbladder blocking the common bile duct or from stone formation within the bile duct, usually asymptomatic. According to Wenckert et al., approximately 25–50% of patients with retained bile duct stones developed severe complications, mainly jaundice or pancreatitis. [1]
Complications
- Biliary cirrhosis
- Cholangitis
- Pancreatitis
- Acute cholelithiasis
- Gallstones ileus
Prognosis
Prognosis is generally not associated with increase mortality. However, the prognosis from complications such as pancreatitis, cholangitis, secondary biliary cirrhosis can be fatal. Blockage and infection caused by stones in the biliary tract can be life threatening. However, with prompt diagnosis and treatment, the outcome is usually very good.
References
- ↑ Wenckert A, Robertson B (1966). "The natural course of gallstone disease: eleven-year review of 781 nonoperated cases". Gastroenterology. 50 (3): 376–81. PMID 5905358.