Choledocholithiasis: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
 
(52 intermediate revisions by 8 users not shown)
Line 1: Line 1:
__NOTOC__
{| class="infobox" style="float:right;"
|-
|[[File:Siren.gif|30px|link=Choledocholithiasis resident survival guide]]||<br>||<br>
|[[Choledocholithiasis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
   Name          = Choledocholithiasis |
   Name          = Choledocholithiasis |
Line 8: Line 14:
   OMIM          = |
   OMIM          = |
   MedlinePlus    = 000274 |
   MedlinePlus    = 000274 |
  eMedicineSubj  = |
  eMedicineTopic = |
   DiseasesDB    = 33385 |
   DiseasesDB    = 33385 |
}}
}}
Line 17: Line 21:
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


{{CMG}}
{{CMG}}; {{AE}}[[Adenike Eketunde]]


{{Editor Help}}
==[[Choledocholithiasis overview|Overview]]==


==Overview==
==[[Choledocholithiasis historical perspective|Historical Perspective]]==


'''Choledocholithiasis''' is the presence of [[gallstone]]s in the [[common bile duct]].  This condition causes [[jaundice]] and [[liver]] cell damage, and is a [[medical emergency]], requiring the [[ERCP|endoscopic retrograde cholangiopancreatography]] (ERCP) procedure or [[surgery|surgical]] treatment.
==[[Choledocholithiasis classification|Classification]]==


A tendency for this disease can be inherited.
==[[Choledocholithiasis pathophysiology|Pathophysiology]]==


==Cause==
==[[Choledocholithiasis causes|Causes]]==
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==
==[[Choledocholithiasis differential diagnosis|Differentiating Choledocholithiasis from other Diseases]]==
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]].
 
==[[Choledocholithiasis epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Choledocholithiasis risk factors|Risk Factors]]==
 
==[[Choledocholithiasis screening|Screening]]==
 
==[[Choledocholithiasis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
Doctors can use a blood test of alkaline phosphatase, bilirubin and cholesterol to diagnose choledocholithiasis.
[[Choledocholithiasis history and symptoms|History and Symptoms]] | [[Choledocholithiasis physical examination|Physical Examination]] | [[Choledocholithiasis laboratory findings|Laboratory Findings]] | [[Choledocholithiasis electrocardiogram|Electrocardiogram]] | [[Choledocholithiasis x ray|X Ray]] | [[Choledocholithiasis CT|CT]] | [[Choledocholithiasis MRI|MRI]] | [[Choledocholithiasis ultrasound|Ultrasound]] | [[Choledocholithiasis other imaging findings|Other Imaging Findings]] | [[Choledocholithiasis other diagnostic studies|Other diagnostic Studies]]
 
However, [[ultrasound]] demonstrating an enlarged common bile duct is the test of choice.


==Treatment==
==Treatment==
Treatment involves removing the stone using ERCP. Typically, the gallbladder is then removed to prevent a future occurrence of common bile duct obstruction. 
[[Choledocholithiasis medical therapy|Medical Therapy]] | [[Choledocholithiasis surgery|Surgery]] | [[Choledocholithiasis primary prevention|Primary Prevention]] | [[Choledocholithiasis secondary prevention|Secondary Prevention]] | [[Choledocholithiasis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Choledocholithiasis future or investigational therapies|Future or Investigational Therapies]]
[[Image:CBD stones.JPG|thumb|center|MRCP image of two stones in the distal [[common bile duct]]]]
[[Image:ERCP DACP stones.jpg|center|thumb|Fluoroscopic image of multiple [[common bile duct]] [[choledocholithiasis|stones]] seen at the time of [[endoscopic retrograde cholangiopancreatography|ERCP]] and duodenoscope assisted cholangiopancreatography (DACP).  The stone was impacted in the distal common bile duct and was crushed with intracorporeal [[lithotripsy]].]]


{{Gastroenterology}}
==Case Studies==
[[Choledocholithiasis case study one|Case #1]]


[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Hepatology]]
[[Catetgory:Disease state]]
[[Category:Mature page]]


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}

Latest revision as of 17:57, 3 November 2020
Resident
Survival
Guide

Template:DiseaseDisorder infobox

Choledocholithiasis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Choledocholithiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Choledocholithiasis On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Choledocholithiasis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Choledocholithiasis

CDC on Choledocholithiasis

Choledocholithiasis in the news

Blogs on Choledocholithiasis

Directions to Hospitals Treating Choledocholithiasis

Risk calculators and risk factors for Choledocholithiasis

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Adenike Eketunde

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Choledocholithiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Choledocholithiasis&oldid=1673738"