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. 2009 Sep 2;71(5):229–237. doi: 10.1007/s12262-009-0050-3

Common bile duct stones — their presentation, diagnosis and management

Rajendra Desai 1,✉, Bahaman N Shokouhi 2
PMCID: PMC3452785  PMID: 23133165

Abstract

Common Bile duct stones (CBD) continue to pose a significant problem both to the patient and the Surgeon. They increase the morbidity of a patient undergoing Cholecystectomy from less than 5% to as much as 20% and almost zero mortality to as high as 30%. Recent times have thrown up a fair share of controversy in the management of this condition both due to technological innovations and costreduction-pressures. The aim in CBD stone disease, as in any benign disease is to discover a therapeutic algorithm with minimal morbidity, no mortality and at reasonable cost. This can be achieved only by a thorough understanding of the disease and also the available diagnostic and treatment modalities.This article dicusses the diagnosis, investigation and therapy of Common Bile Duct Stones (CBD) and gives a therapeutic algorithm.

Keywords: Common bile duct stones, Gall stones, Laparoscopic, MRCP, ERCP

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