Technical aspects of bile duct evaluation and exploration

Sean B. Orenstein; Jeffrey M. Marks; Jeffrey M. Hardacre

doi:10.1016/j.suc.2013.12.002

Technical aspects of bile duct evaluation and exploration

Sean B. Orenstein, Jeffrey M. Marks, Jeffrey M. Hardacre

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

Abstract

Choledocholithiasis is a common manifestation of biliary disease. Intraoperative cholangiography can be performed in several ways. Common bile duct exploration can be safely performed but necessitates an advanced level of surgical experience to limit complications and improve success. An algorithm based on available resources and the physician skill set is vital for safe and effective management of choledocholithiasis. Endoscopic retrograde cholangiopancreatography requires the availability of an advanced endoscopist as well as significant equipment and resources. Current training of young surgeons is limited for open biliary procedures and common bile duct explorations. Educational guidelines are necessary to reduce this educational gap.

Original language	English (US)
Pages (from-to)	281-296
Number of pages	16
Journal	Surgical Clinics of North America
Volume	94
Issue number	2
DOIs	https://doi.org/10.1016/j.suc.2013.12.002
State	Published - Apr 2014
Externally published	Yes

Keywords

Cholangiogram
Common bile duct exploration
ERCP
Laparoscopic
Open

ASJC Scopus subject areas

Surgery

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10.1016/j.suc.2013.12.002

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title = "Technical aspects of bile duct evaluation and exploration",

abstract = "Choledocholithiasis is a common manifestation of biliary disease. Intraoperative cholangiography can be performed in several ways. Common bile duct exploration can be safely performed but necessitates an advanced level of surgical experience to limit complications and improve success. An algorithm based on available resources and the physician skill set is vital for safe and effective management of choledocholithiasis. Endoscopic retrograde cholangiopancreatography requires the availability of an advanced endoscopist as well as significant equipment and resources. Current training of young surgeons is limited for open biliary procedures and common bile duct explorations. Educational guidelines are necessary to reduce this educational gap.",

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AU - Orenstein, Sean B.

AU - Marks, Jeffrey M.

AU - Hardacre, Jeffrey M.

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N2 - Choledocholithiasis is a common manifestation of biliary disease. Intraoperative cholangiography can be performed in several ways. Common bile duct exploration can be safely performed but necessitates an advanced level of surgical experience to limit complications and improve success. An algorithm based on available resources and the physician skill set is vital for safe and effective management of choledocholithiasis. Endoscopic retrograde cholangiopancreatography requires the availability of an advanced endoscopist as well as significant equipment and resources. Current training of young surgeons is limited for open biliary procedures and common bile duct explorations. Educational guidelines are necessary to reduce this educational gap.

AB - Choledocholithiasis is a common manifestation of biliary disease. Intraoperative cholangiography can be performed in several ways. Common bile duct exploration can be safely performed but necessitates an advanced level of surgical experience to limit complications and improve success. An algorithm based on available resources and the physician skill set is vital for safe and effective management of choledocholithiasis. Endoscopic retrograde cholangiopancreatography requires the availability of an advanced endoscopist as well as significant equipment and resources. Current training of young surgeons is limited for open biliary procedures and common bile duct explorations. Educational guidelines are necessary to reduce this educational gap.

KW - Cholangiogram

KW - Common bile duct exploration

KW - ERCP

KW - Laparoscopic

KW - Open

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DO - 10.1016/j.suc.2013.12.002

M3 - Review article

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AN - SCOPUS:84897107294

SN - 0039-6109

VL - 94

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EP - 296

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

IS - 2

ER -

Technical aspects of bile duct evaluation and exploration

Abstract

Keywords

ASJC Scopus subject areas

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