Choledocholithiasis: Difference between revisions
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==Overview== | ==[[Choledocholithiasis overview|Overview]]== | ||
==[[Choledocholithiasis historical perspective|Historical Perspective]]== | |||
==[[Choledocholithiasis pathophysiology|Pathophysiology]]== | |||
==[[Choledocholithiasis epidemiology and demographics|Epidemiology & Demographics]]== | |||
==[[Choledocholithiasis risk factors|Risk Factors]]== | |||
==[[Choledocholithiasis screening|Screening]]== | |||
==[[Choledocholithiasis causes|Causes]]== | |||
==[[Choledocholithiasis differential diagnosis|Differentiating Choledocholithiasis]]== | |||
==[[Choledocholithiasis natural history|Complications & Prognosis]]== | |||
==Diagnosis== | |||
[[Choledocholithiasis history and symptoms|History and Symptoms]] | [[Choledocholithiasis physical examination|Physical Examination]] | [[Choledocholithiasis staging|Staging]] | [[Choledocholithiasis laboratory tests|Laboratory tests]] | [[Choledocholithiasis electrocardiogram|Electrocardiogram]] | [[Choledocholithiasis x ray|X Rays]] | [[Choledocholithiasis CT|CT]] | [[Choledocholithiasis MRI|MRI]] [[Choledocholithiasis echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Choledocholithiasis other imaging findings|Other images]] | [[Choledocholithiasis other diagnostic studies|Alternative diagnostics]] | |||
==Treatment== | |||
[[Choledocholithiasis medical therapy|Medical therapy]] | [[Choledocholithiasis surgery|Surgical options]] | [[Choledocholithiasis primary prevention|Primary prevention]] | [[Choledocholithiasis secondary prevention|Secondary prevention]] | [[Choledocholithiasis cost-effectiveness of therapy|Financial costs]] | [[Choledocholithiasis future or investigational therapies|Future therapies]] | |||
==Cause== | ==Cause== | ||
Revision as of 20:45, 27 January 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Historical Perspective
Pathophysiology
Epidemiology & Demographics
Risk Factors
Screening
Causes
Differentiating Choledocholithiasis
Complications & Prognosis
Diagnosis
History and Symptoms | Physical Examination | Staging | Laboratory tests | Electrocardiogram | X Rays | CT | MRI Echocardiography or Ultrasound | Other images | Alternative diagnostics
Treatment
Medical therapy | Surgical options | Primary prevention | Secondary prevention | Financial costs | Future therapies
Cause
While stones can frequently pass through the common bile duct into the duodenum, some stones may be too large to passthrough the CBD and will cause an obstruction.
Complications
This obstruction leads to jaundice, elevation in alkaline phosphatase, increase in conjugated bilirubin in the blood and increase in cholesterol in the blood. It can also cause acute pancreatitis and ascending cholangitis.
Diagnosis
Doctors can use a blood test of alkaline phosphatase, bilirubin and cholesterol to diagnose choledocholithiasis.
However, ultrasound demonstrating an enlarged common bile duct is the test of choice.
Treatment
Treatment involves removing the stone using ERCP. Typically, the gallbladder is then removed to prevent a future occurrence of common bile duct obstruction.
