Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis.

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Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis.

Med Clin North Am. 2008 Jul;92(4):925-60, x

Authors: Attasaranya S, Fogel EL, Lehman GA

Gallstone disease is encountered commonly in clinical practice. The diagnosis of biliary stones has become less problematic with current, less-invasive imaging methods. The relatively invasive endoscopic techniques should be reserved for therapy and not used for diagnosis. Acute cholangitis and gallstone pancreatitis are two major complications that require prompt recognition and timely intervention to limit morbidity and prevent mortality or recurrence. Appropriate noninvasive diagnostic studies, adequate monitoring/supportive care, and proper patient selection for invasive therapeutic procedures are elements of good clinical practice.

PMID: 18570948 [PubMed - indexed for MEDLINE]

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