{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T13:58:29Z","timestamp":1792245509748,"version":"4.4.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Main Recommendations<\/jats:title>\n                  <jats:p>ESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention.<\/jats:p>\n                  <jats:p>Strong recommendation, low quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines:<\/jats:p>\n                  <jats:p>\u2013\u2002severe, as soon as possible and within 12 hours for patients with septic shock<\/jats:p>\n                  <jats:p>\u2013\u2002moderate, within 48\u200a\u2013\u200a72 hours<\/jats:p>\n                  <jats:p>\u2013\u2002mild, elective.<\/jats:p>\n                  <jats:p>Strong recommendation, low quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality of evidence.<\/jats:p>\n                  <jats:p>ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones.<\/jats:p>\n                  <jats:p>Strong recommendation, high quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality evidence.<\/jats:p>\n                  <jats:p>ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality evidence.<\/jats:p>","DOI":"10.1055\/a-0862-0346","type":"journal-article","created":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T19:14:21Z","timestamp":1554318861000},"page":"472-491","source":"Crossref","is-referenced-by-count":680,"title":["Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline"],"prefix":"10.1055","volume":"51","author":[{"given":"Gianpiero","family":"Manes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, ASST Rhodense, Rho and Garbagnate M.se Hospitals, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregorios","family":"Paspatis","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Benizelion General Hospital, Heraklion, Crete, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Aabakken","sequence":"additional","affiliation":[{"name":"GI Endoscopy, Rikshospitalet University Hospital, Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Anderloni","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Arvanitakis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and Digestive Oncology, Erasme University Hospital Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Ah-Soune","sequence":"additional","affiliation":[{"name":"Service d'H\u00e9pato-Gastroent\u00e9rologie, H\u00f4pital Saint-Musse, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Barthet","sequence":"additional","affiliation":[{"name":"Service d'H\u00e9pato-gastroent\u00e9rologie, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Domagk","sequence":"additional","affiliation":[{"name":"Department of Medicine B, University of M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Marc","family":"Dumonceau","sequence":"additional","affiliation":[{"name":"Gedyt Endoscopy Center, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Francois","family":"Gigot","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery and Transplantation, Cliniques Universitaires Saint-Luc, Universit\u00e9 Catholique de Louvain, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istvan","family":"Hritz","sequence":"additional","affiliation":[{"name":"Semmelweis University, 1st Department of Surgery, Endoscopy Unit, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Karamanolis","sequence":"additional","affiliation":[{"name":"Academic Department of Gastroenterology, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Laghi","sequence":"additional","affiliation":[{"name":"Pathological Sciences, Sapienza University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Mariani","sequence":"additional","affiliation":[{"name":"Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, Vita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Paraskeva","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Konstantopoulio General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Pohl","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Interventional Endoscopy, Klinikum Friedrichshain, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Ponchon","sequence":"additional","affiliation":[{"name":"Department of Digestive Diseases, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrik","family":"Swahn","sequence":"additional","affiliation":[{"name":"Center for Digestive Diseases, Karolinska University Hospital and Division of Surgery, CLINTEC, Karolinska Institute, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinze W. F.","family":"ter Steege","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Tringali","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Catholic University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonios","family":"Vezakis","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, 2 Department of Surgery, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Earl J.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Bournemouth Hospital, Bournemouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanin E.","family":"van Hooft","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,4,3]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0862-0346.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T03:18:35Z","timestamp":1558408715000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0862-0346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,3]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2019,4,25]]},"published-print":{"date-parts":[[2019,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0862-0346","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,3]]}}}