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Colegio de Medicos y Cirujanos República de Costa Rica

2014, Number 613

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Rev Med Cos Cen 2014; 71 (613)

Ultrasonido endoscópico en pacientes con sospecha de coledocolitiasis

Granados MÉ

Language: Spanish
References: 18
Page: 789-794
PDF size: 541.17 Kb.


ABSTRACT

This article introduces the reader to the increasing role of endoscopic ultrasound (EUS) in the management of patients with suspected choledocholithiasis and gallstone pancreatitis. Since its usage has not been well established, there are other factors that must be considered, like costs and the availability of other imaging modalities such as magnetic resonance cholangiopancreatography and abdominal US. The reader is going to be introduced to the situations in which using EUS could be beneficial based upon the risk of presenting common bile duct stones. Patients with high risk are best managed by proceeding directly to ERCP after they had been risk-stratified by their clinical presentation. This classification is by far the most controversial issue related to this topic.


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