Endoscopic management of choledocholithiasis and cholelithiasis in patients with cirrhosis

Expert Review of Gastroenterology & Hepatology
Ali S KhanMouen A Khashab

Abstract

Treatment of choledocholithiasis and cholelithiasis in patients with cirrhosis often requires diagnostic and therapeutic endoscopy such as endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). Patients with underlying cirrhosis may have coagulopathy, hepatic encephalopathy, ascites and other comorbidities associated with cirrhosis that can make endoscopic therapy challenging and can be associated with a higher risk of adverse events. Given the unique derangements of physiologic parameters associated with cirrhosis this population requires a truly multifaceted and multidisciplinary understanding between therapeutic endoscopists, hepatologists and anesthesiologists. For therapeutic endoscopists, it is critical to be aware of the specific issues unique to this population of patients to optimize outcomes and avoid adverse events. The epidemiology of gallstone disease, the diagnostic and therapeutic approach to patients with varying degree of hepatic dysfunction, and a review of the available literature in this area are presented.

References

Nov 1, 1990·Digestive Diseases and Sciences·F FornariL Buscarini
Jun 1, 1995·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·C BauerR Larsen
Nov 15, 1997·Scandinavian Journal of Gastroenterology·J A Del OlmoJ M Rodrigo
Jan 19, 1999·Archives of Internal Medicine·D ConteL Buscarini
Feb 6, 1999·The American Journal of Gastroenterology·A KeshavarzianS Pethkar
Apr 25, 2001·Digestive Diseases and Sciences·A ChawlaP J Thuluvath
Jan 18, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Celso MatosThierry Metens
Apr 1, 2003·Gastrointestinal Endoscopy·Douglas B Nelson
Dec 23, 2003·The American Journal of Gastroenterology·Lawrence Lai, William R Brugge
Feb 20, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·C K LinG H Lo
Jun 10, 2006·Gastroenterology·Renato CostiLeopoldo Sarli
Jul 25, 2006·Gastrointestinal Endoscopy·Dharmendra VermaDouglas G Adler
Oct 21, 2006·The Cochrane Database of Systematic Reviews·B M WeinbergS Lo
Jan 20, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Takeshi TsujinoMasao Omata
Apr 6, 2007·Gastroenterology·Swee H TehPatrick S Kamath
Aug 19, 2007·Journal of Viral Hepatitis·T StroffoliniUNKNOWN Italian Hospitals' Collaborating Group
Jan 30, 2008·Gastrointestinal Endoscopy·Frances TsePaul Moayyedi
Mar 7, 2008·Gut·E J WilliamsUNKNOWN British Society of Gastroenterology
Apr 1, 2008·Gastrointestinal Endoscopy·Subhas BanerjeeLeslie E Stewart
Oct 22, 2008·World Journal of Gastroenterology : WJG·Takao ItoiFuminori Moriyasu
Oct 30, 2008·Journal of Digestive Diseases·Koray HekimogluSadi Gundogdu
Jan 29, 2010·Gastrointestinal Endoscopy·John T MapleJason A Dominitz
Oct 1, 2008·Biomedical Imaging and Intervention Journal·G Mandarano, J Sim
Dec 8, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jose Bueno LledóManuel B Juan
Dec 21, 2011·Scandinavian Journal of Gastroenterology·Tomas KollerJuraj Payer
Aug 9, 2012·European Journal of Clinical Nutrition·K NormanS Bühner
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Norman Oneil Machado
May 17, 2013·World Journal of Gastrointestinal Endoscopy·Bruno RosaJosé Cotter
Jan 1, 2014·World Journal of Gastroenterology : WJG·Jin Hong KimByung Moo Yoo
Jun 27, 2014·World Journal of Gastroenterology : WJG·Monica Acalovschi

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