Endoscopic management of common bile duct stones

European Society of Gastrointestinal Endoscopy (ESGE) guideline

Gianpiero Manes, Gregorios Paspatis, Lars Aabakken, Andrea Anderloni, Marianna Arvanitakis, Philippe Ah-Soune, Marc Barthet, Dirk Domagk, Jean Marc Dumonceau, Jean Francois Gigot, I. Hritz, George Karamanolis, Andrea Laghi, Alberto Mariani, Konstantina Paraskeva, Jürgen Pohl, Thierry Ponchon, Fredrik Swahn, Rinze W.F. Ter Steege, Andrea Tringali & 3 others Antonios Vezakis, Earl J. Williams, Jeanin E. Van Hooft

Research output: Article

1 Citation (Scopus)

Abstract

Main Recommendations ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention. Strong recommendation, low quality evidence. ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography. Strong recommendation, moderate quality evidence. ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines: - severe, as soon as possible and within 12 hours for patients with septic shock - moderate, within 48-72 hours - mild, elective. Strong recommendation, low quality evidence. ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage. Strong recommendation, moderate quality of evidence. ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence. ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.

Original languageEnglish
Pages (from-to)472-491
Number of pages20
JournalEndoscopy
Volume51
Issue number5
DOIs
Publication statusPublished - jan. 1 2019

Fingerprint

Gastrointestinal Endoscopy
Common Bile Duct
Guidelines
Drainage
Ultrasonography
Magnetic Resonance Cholangiopancreatography
Choledocholithiasis
Endosonography
Cholangitis
Lithotripsy
Tokyo
Endoscopic Retrograde Cholangiopancreatography
Laparoscopic Cholecystectomy
Liver Function Tests
Septic Shock
Bile Ducts
Plastics
Stents
Dilatation
Lasers

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Manes, G., Paspatis, G., Aabakken, L., Anderloni, A., Arvanitakis, M., Ah-Soune, P., ... Van Hooft, J. E. (2019). Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy, 51(5), 472-491. https://doi.org/10.1055/a-0862-0346

Endoscopic management of common bile duct stones : European Society of Gastrointestinal Endoscopy (ESGE) guideline. / Manes, Gianpiero; Paspatis, Gregorios; Aabakken, Lars; Anderloni, Andrea; Arvanitakis, Marianna; Ah-Soune, Philippe; Barthet, Marc; Domagk, Dirk; Dumonceau, Jean Marc; Gigot, Jean Francois; Hritz, I.; Karamanolis, George; Laghi, Andrea; Mariani, Alberto; Paraskeva, Konstantina; Pohl, Jürgen; Ponchon, Thierry; Swahn, Fredrik; Ter Steege, Rinze W.F.; Tringali, Andrea; Vezakis, Antonios; Williams, Earl J.; Van Hooft, Jeanin E.

In: Endoscopy, Vol. 51, No. 5, 01.01.2019, p. 472-491.

Research output: Article

Manes, G, Paspatis, G, Aabakken, L, Anderloni, A, Arvanitakis, M, Ah-Soune, P, Barthet, M, Domagk, D, Dumonceau, JM, Gigot, JF, Hritz, I, Karamanolis, G, Laghi, A, Mariani, A, Paraskeva, K, Pohl, J, Ponchon, T, Swahn, F, Ter Steege, RWF, Tringali, A, Vezakis, A, Williams, EJ & Van Hooft, JE 2019, 'Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline', Endoscopy, vol. 51, no. 5, pp. 472-491. https://doi.org/10.1055/a-0862-0346
Manes G, Paspatis G, Aabakken L, Anderloni A, Arvanitakis M, Ah-Soune P et al. Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2019 jan. 1;51(5):472-491. https://doi.org/10.1055/a-0862-0346
Manes, Gianpiero ; Paspatis, Gregorios ; Aabakken, Lars ; Anderloni, Andrea ; Arvanitakis, Marianna ; Ah-Soune, Philippe ; Barthet, Marc ; Domagk, Dirk ; Dumonceau, Jean Marc ; Gigot, Jean Francois ; Hritz, I. ; Karamanolis, George ; Laghi, Andrea ; Mariani, Alberto ; Paraskeva, Konstantina ; Pohl, Jürgen ; Ponchon, Thierry ; Swahn, Fredrik ; Ter Steege, Rinze W.F. ; Tringali, Andrea ; Vezakis, Antonios ; Williams, Earl J. ; Van Hooft, Jeanin E. / Endoscopic management of common bile duct stones : European Society of Gastrointestinal Endoscopy (ESGE) guideline. In: Endoscopy. 2019 ; Vol. 51, No. 5. pp. 472-491.
@article{119e65e10e2643b5a78634c929de9f3c,
title = "Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline",
abstract = "Main Recommendations ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention. Strong recommendation, low quality evidence. ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography. Strong recommendation, moderate quality evidence. ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines: - severe, as soon as possible and within 12 hours for patients with septic shock - moderate, within 48-72 hours - mild, elective. Strong recommendation, low quality evidence. ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage. Strong recommendation, moderate quality of evidence. ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence. ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.",
author = "Gianpiero Manes and Gregorios Paspatis and Lars Aabakken and Andrea Anderloni and Marianna Arvanitakis and Philippe Ah-Soune and Marc Barthet and Dirk Domagk and Dumonceau, {Jean Marc} and Gigot, {Jean Francois} and I. Hritz and George Karamanolis and Andrea Laghi and Alberto Mariani and Konstantina Paraskeva and J{\"u}rgen Pohl and Thierry Ponchon and Fredrik Swahn and {Ter Steege}, {Rinze W.F.} and Andrea Tringali and Antonios Vezakis and Williams, {Earl J.} and {Van Hooft}, {Jeanin E.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1055/a-0862-0346",
language = "English",
volume = "51",
pages = "472--491",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",
number = "5",

}

TY - JOUR

T1 - Endoscopic management of common bile duct stones

T2 - European Society of Gastrointestinal Endoscopy (ESGE) guideline

AU - Manes, Gianpiero

AU - Paspatis, Gregorios

AU - Aabakken, Lars

AU - Anderloni, Andrea

AU - Arvanitakis, Marianna

AU - Ah-Soune, Philippe

AU - Barthet, Marc

AU - Domagk, Dirk

AU - Dumonceau, Jean Marc

AU - Gigot, Jean Francois

AU - Hritz, I.

AU - Karamanolis, George

AU - Laghi, Andrea

AU - Mariani, Alberto

AU - Paraskeva, Konstantina

AU - Pohl, Jürgen

AU - Ponchon, Thierry

AU - Swahn, Fredrik

AU - Ter Steege, Rinze W.F.

AU - Tringali, Andrea

AU - Vezakis, Antonios

AU - Williams, Earl J.

AU - Van Hooft, Jeanin E.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Main Recommendations ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention. Strong recommendation, low quality evidence. ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography. Strong recommendation, moderate quality evidence. ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines: - severe, as soon as possible and within 12 hours for patients with septic shock - moderate, within 48-72 hours - mild, elective. Strong recommendation, low quality evidence. ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage. Strong recommendation, moderate quality of evidence. ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence. ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.

AB - Main Recommendations ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention. Strong recommendation, low quality evidence. ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography. Strong recommendation, moderate quality evidence. ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines: - severe, as soon as possible and within 12 hours for patients with septic shock - moderate, within 48-72 hours - mild, elective. Strong recommendation, low quality evidence. ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage. Strong recommendation, moderate quality of evidence. ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence. ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones. Strong recommendation, moderate quality evidence. ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.

UR - http://www.scopus.com/inward/record.url?scp=85064973800&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064973800&partnerID=8YFLogxK

U2 - 10.1055/a-0862-0346

DO - 10.1055/a-0862-0346

M3 - Article

VL - 51

SP - 472

EP - 491

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

IS - 5

ER -