Korean J Pancreas Biliary Tract.  2024 Oct;29(4):117-121. 10.15279/kpba.2024.29.4.117.

Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Common Bile Duct Stones: Purpose and Process of Guidelines

• Ko SW
• Lee DW
• Lee J

• KMID: 2560374
• DOI: http://doi.org/10.15279/kpba.2024.29.4.117

Abstract

Common bile duct (CBD) stones carry a risk of complications including biliary obstruction, acute cholangitis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is regarded as the standard of treatment for CBD stones nowadays. However, ERCP can cause severe adverse events such as bleeding, post-ERCP pancreatitis and perforation. Therefore, it is important to provide practical guideline to manage CBD stones for clinicians. The Korean Pancreatobiliary Association (KPBA) established the first Korean guidelines for the management of CBD stones in 2013. Taking together the recently developed techniques for CBD stones and evidence newly obtained, the committee of the KPBA decided to perform an extensive revision of the guidelines. These revised guidelines were developed based on consensusbased guideline using Delphi methods. The main topics of these guidelines fall under the following topics: 1) diagnosis, 2) endoscopic management, 3) endoscopic management for difficult CBD stones. The specific recommendations are presented with the quality of evidence and classification of recommendations.

Keyword

Choledocholithiasis; Common bile duct; Endoscopic retrograde cholangiopancreatography; Guideline; Evidence-based medicine; 총담관 결석; 총담관; 내시경역행성담췌관조영술; 진료지침; 근거중심의학