The Role of Transabdominal Sonography in the Diagnostics of Choledocholithiasis: Compared to Endoscopic Retrograde Cholangiopancreatography
Journal Title: Current Trends in Gastroenterology and Hepatology - Year 2018, Vol 1, Issue 5
Abstract
Common bile duct stone (CBDS) or choledocholithiasis (ChL) is one of the major pathologies that lead to serious complications, and accurate and early diagnosis is very important. ChL diagnostics is based on clinical, laboratory and instrumental examinations. We used transabdominal songraphy (TAUS) for detecting CBDS and comparing it with endoscopic retrograde cholangiopancretography (ERCP).Common bile duct stone (CBDS) or choledocholithiasis (ChL) is one of the major pathologies that lead serious complications and accurate, early detection is very important. According to ethiology, there are primary or secondary ChL. 10% of the ChL cases mentioned in literature are the primary and 90% of them are secondary ChL. The primary CBDS is associated with biliary stasis (bile duct stricture, papillary stenosis) and infection in bile duct, whereas secondary CBDS appear due to the migration of a stone from the gallbladder. With higher prevalence among women at the ratio of 2:1, the prevalence rate of gallstone disease is 5-25% and in 20% of the gallstone cases in choledocholithiasis appear simultaneously [1-5]. Clinical manifestation of ChL is similar to acute and chronic cholelithiasis exacerbated with mechanical jaundice [4,5]. Early diagnosis of the disease helps preventing such lethal complication as cholangitis, liver abscess, pancreatitis, as well as reducing the volume of surgical intervention. ChL diagnostics is based on clinical, laboratory and instrumental examinations. Instrumental examinations differ from the others because of complexity and invasion.
Authors and Affiliations
Gafarov RI, Yusif-zada KR
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