Choledocholithiasis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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Overview
The goal of treatment is to relieve the blockage. Surgery is the mainstay of treatment for symptomatic choledocholithiasis. The procedure is Biliary endoscopic sphincterotomy, an essential procedure of endoscopic retrograde cholangiopancreatography (ERCP). The procedure involves cutting the sphincter between the common bile duct and the pancreatic duct using a flexible catheter and wire to remove the stone.
Surgery
Surgery is the mainstay of treatment for symptomatic choledocholithiasis. The procedure is Biliary endoscopic sphincterotomy, an essential procedure of endoscopic retrograde cholangiopancreatography (ERCP). The procedure involves cutting the sphincter between the common bile duct and the pancreatic ducts using a flexible catheter and wire to remove the stone; About 85% of bile duct stone can be removed by BES. Biliary endoscopic sphincterotomy (BES) is an essential procedure of endoscopic retrograde cholangiopancreatography (ERCP). Other treatments include
- Biliary stenting
- stone extraction
- fragmenting stones (lithotripsy)
- Patients with choledocholithiasis secondary to gallstone can be treated with cholecystectomy.