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CC BY 4.0 · Chinese medicine and natural products 2023; 03(01): e1-e8
DOI: 10.1055/s-0043-1764130
Consensus and Guideline

Expert Consensus on the Interventional Treatment of Choledocholithiasis with Integrative Medicine

Bin Liu
1   Department of Interventional Medicine, The Second Hospital of Shandong University, Ji'nan, Shandong, China
,
Zhongmin Wang
2   Department of Interventional Radiology, School of Medicine, Shanghai Jiao Tong University, Ruijin Hospital, Shanghai, China
,
Jinhe Guo
3   Department of Interventional and Vascular Surgery, Zhongda Hospital Affiliated to Southeast University, Nanjing, China
,
Honglei Wu
4   Department of Gastroenterology, The Second Hospital of Shandong University, Ji'nan, Shandong, China
,
Kai Zhang
5   Department of Hepatobiliary Surgery, The Third Hospital of Shandong Province, Ji'nan, Shandong, China
,
Tao Yu
6   Department of Gastroenterology, Qilu Hospital of Shandong University, Ji'nan, Shandong, China
,
Zhengguang Du
7   Department of Gastroenterology, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing, China
,
Wenxia Zhao
8   Department of Spleen, Stomach and Hepatobiliary Diseases, The First Hospital Affiliated to Henan University of Chinese Medicine, Zhengzhou, China
,
Long Jin
9   Department of Interventional Radiology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China
,
Chongzhong Liu
10   Department of Hepatobiliary Surgery, The Second Hospital of Shandong University, Ji'nan, Shandong, China
,
Zan Fu
11   Department of General Surgery, Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, China
,
Jiangguang Sun
12   Department of Hepatobiliary Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong, China
,
Kun Gao
13   Department of Interventional Medicine, Beijing Chaoyang Hospital, Beijing, China
,
Haibo Shao
14   Department of Interventional Therapy, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
,
Duiping Feng
15   Department of Interventional Radiology, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China
,
Dongfeng Shen
16   Department of Interventional Vascular Surgery, Shanxi Provincial Hospital, Taiyuan, Shanxi, China
,
Hongling Jia
17   Department of Acupuncture and Moxibustion, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong, China
,
Yuliang Li
1   Department of Interventional Medicine, The Second Hospital of Shandong University, Ji'nan, Shandong, China
› Author Affiliations Funding This work was funded by the Program for Integrated Traditional Chinese and Western Medicine in Shandong Province of China (YXH2019ZXY007), Ji'nan Professionals Development Special Fund (20228118), Science and Technology Project of (Sinopec Group) Shengli Petroleum Administration Co., Ltd (GKY2001), and Science and Technology Project of Ji'nan Health Committee (2020-3-65).
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Abstract

Percutaneous transhepatic papillary balloon drainage (PTPBD) is a newly emerging interventional treatment modality for choledocholithiasis in China. Compared with other treatments, it has some advantages. Traditional Chinese medicine has been proven to have certain advantages in the treatment of choledocholithiasis, with reliable efficacy, few side effects, and a low recurrence rate. To standardize the clinical practice of choledocholithiasis, facilitate the application of PTPBD, and improve the diagnosis and treatment of integrative medicine, the Chinese College of Interventionalists organized multidisciplinary experts to discuss and formulate this consensus. This consensus aims to regulate the patient selection and technical process of PTPBD and the diagnosis and treatment scheme of integrative medicine.

Keywords

choledocholithiasis - integrative medicine - expert consensus - interventional treatment

CRediT Authorship Contribution Statement

B.L. was responsible for data curation and writing—original draft. Z.W. was responsible for data curation and formal analysis. J.G., H.W., C.L., and T.Y. were responsible for resources and formal analysis. K.Z. was responsible for methodology and project administration. Z.D. was responsible for supervision and validation. W.Z., L.J., Z.F., J.S., K.G., H.S., D.F., D.S., and H.J. were responsible for writing—review and editing. Y.L. was responsible for conceptualization, funding acquisition, and writing—review and editing.




Publication History

Received: 10 July 2022

Accepted: 23 September 2022

Article published online:
14 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Wang ZF, Zhu XG, Liu Y. Progress in diagnosis and treatment of cholelithiasis. J Clin Digest 2006; 6: 325-327
    Google Scholar
  • 2 Wu J, Qiu F, Huang J. Surgery, 4th Ed. People's Medical Publishing House; Beijing: 2008
    Google Scholar
  • 3 Graham SM, Flowers JL, Scott TR. et al. Laparoscopic cholecystectomy and common bile duct stones. The utility of planned perioperative endoscopic retrograde cholangiography and sphincterotomy: experience with 63 patients. Ann Surg 1993; 218 (01) 61-67
    CrossrefPubMedGoogle Scholar
  • 4 Ponsky JL. Laparoscopic therapy of cholelithiasis. Annu Rev Med 1993; 44: 317-322
    CrossrefPubMedGoogle Scholar
  • 5 Tham TC, Carr-Locke DL, Collins JS. Endoscopic sphincterotomy in the young patient: is there cause for concern?. Gut 1997; 40 (06) 697-700
    CrossrefPubMedGoogle Scholar
  • 6 García-Cano J. Success rate for complete choledocholithiasis extraction by means of endoscopic retrograde cholangiopancreatography. Surg Endosc 2004; 18 (11) 1681-1682
    CrossrefPubMedGoogle Scholar
  • 7 Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev 2006; (02) CD003327
    PubMedGoogle Scholar
  • 8 Patel JA, Patel NA, Shinde T. et al. Endoscopic retrograde cholangiopancreatography after laparoscopic Roux-en-Y gastric bypass: a case series and review of the literature. Am Surg 2008; 74 (08) 689-693 , discussion 693–694
    CrossrefPubMedGoogle Scholar
  • 9 La Greca G, Barbagallo F, Sofia M, Latteri S, Russello D. Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis. Surg Endosc 2009; 24 (04) 769-780
    CrossrefPubMedGoogle Scholar
  • 10 Petrov MS, Savides TJ. Systematic review of endoscopic ultrasonography versus endoscopic retrograde cholangiopancreatography for suspected choledocholithiasis. Br J Surg 2009; 96 (09) 967-974
    CrossrefPubMedGoogle Scholar
  • 11 Ross AS. Endoscopic retrograde cholangiopancreatography in the surgically modified gastrointestinal tract. Gastrointest Endosc Clin N Am 2009; 19 (03) 497-507
    CrossrefPubMedGoogle Scholar
  • 12 Keus F, Gooszen HG, van Laarhoven CJ. Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews. Cochrane Database Syst Rev 2010; 2010 (01) CD008318
    PubMedGoogle Scholar
  • 13 Tse F, Yuan Y. Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis. Cochrane Database Syst Rev 2012; (05) CD009779
    PubMedGoogle Scholar
  • 14 Gurusamy KS, Giljaca V, Takwoingi Y. et al. Endoscopic retrograde cholangiopancreatography versus intraoperative cholangiography for diagnosis of common bile duct stones. Cochrane Database Syst Rev 2015; 2015 (02) CD010339
    PubMedGoogle Scholar
  • 15 Gullà N, Patriti A, Patriti A, Tristaino B. [Minimally invasive treatment of cholelithiasis in the elderly]. Minerva Chir 2001; 56 (03) 223-228
    PubMedGoogle Scholar
  • 16 Professional Committee of Mininally Invasive Surgeons Branch Chinese Medical Association. Expert consensus on laparoscopic treatment of hepatolithiasis (2013 edition). Chi J Diges Surg 2013; 12 (01) 1-5
    Google Scholar
  • 17 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Guidelines Committee. Guidelines for training in diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Surg Endosc 2007; 21 (06) 1010-1011
    CrossrefPubMedGoogle Scholar
  • 18 Tazuma S, Unno M, Igarashi Y. et al. Evidence-based clinical practice guidelines for cholelithiasis 2016. J Gastroenterol 2017; 52 (03) 276-300
    CrossrefPubMedGoogle Scholar
  • 19 La MATD. Extracción incruenta de = los cálculos en la litiasis residual del colédoco. Bol Trab- Soc Cir B Aires 1962; 46: 278-280
    PubMedGoogle Scholar
  • 20 Mazzariello R. Removal of residual biliary tract calculi without reoperation. Surgery 1970; 67 (04) 566-573
    PubMedGoogle Scholar
  • 21 Perez MR, Oleaga JA, Freiman DB, McLean GL, Ring EJ. Removal of a distal common bile duct stone through percutaneous transhepatic catheterization. Arch Surg 1979; 114 (01) 107-109
    CrossrefPubMedGoogle Scholar
  • 22 Clouse ME. Dormia basket modification for percutaneous transhepatic common bile duct stone removal. AJR Am J Roentgenol 1983; 140 (02) 395-397
    CrossrefPubMedGoogle Scholar
  • 23 Haskin PH, Teplick SK, Gambescia RA, Zitomer N, Pavlides CA. Percutaneous transhepatic removal of a common bile duct stone after mono-octanoin infusion. Radiology 1984; 151 (01) 247-248
    CrossrefPubMedGoogle Scholar
  • 24 Berkman WA, Bishop AF, Palagallo GL, Cashman MD. Transhepatic balloon dilation of the distal common bile duct and ampulla of Vater for removal of calculi. Radiology 1988; 167 (02) 453-455
    CrossrefPubMedGoogle Scholar
  • 25 Li S, Geng J, Li Y. Percutaneous transhepatic balloon dilation for the removal of common bile duct stones. Chi J GenSurg 2013; 28 (07) 497-499
    Google Scholar
  • 26 Li YL, Geng JL, Jia YM. et al. [Clinical study of percutaneous transhepatic balloon dilation: a novel procedure for common bile duct stone]. Zhonghua Yi Xue Za Zhi 2013; 93 (45) 3586-3589
    PubMedGoogle Scholar
  • 27 Li S, Li Y, Geng J. et al. Concurrent percutaneous transhepatic papillary balloon dilatation combined with laparoscopic cholecystectomy for the treatment of gallstones with common bile duct stones. J Laparoendosc Adv Surg Tech A 2015; 25 (11) 886-891
    CrossrefPubMedGoogle Scholar
  • 28 Liu B, Geng J, Li Y. et al. [Clinical study of trans-T tube duodenal papilla balloon dilatation: a novel procedure for postsurgical residual common bile duct stone]. Zhonghua Yi Xue Za Zhi 2015; 95 (11) 853-856
    PubMedGoogle Scholar
  • 29 Zhou Q, Wang YX, Liu P, Zhang H. Research advances in traditional Chinese medicine therapy for cholelithiasis. J Clin Hepatol 2018; 34 (11) 2458-2463
    Google Scholar
  • 30 Gurusamy KS, Giljaca V, Takwoingi Y. et al. Ultrasound versus liver function tests for diagnosis of common bile duct stones. Cochrane Database Syst Rev 2015; 2015 (02) CD011548
    CrossrefPubMedGoogle Scholar
  • 31 ERCP Group, Digestive Endoscopy Branch, Chinese Medical Association. Guidelines for the diagnostic and therapeutic ERCP. Chin J Gastroenter 2010; 27 (03) 113-118
    Google Scholar
  • 32 Almadi MA, Barkun JS, Barkun AN. Management of suspected stones in the common bile duct. CMAJ 2012; 184 (08) 884-892
    CrossrefPubMedGoogle Scholar
  • 33 Buxbaum J. Modern management of common bile duct stones. Gastrointest Endosc Clin N Am 2013; 23 (02) 251-275
    CrossrefPubMedGoogle Scholar
  • 34 Li D, Li YL, Wang WJ. et al. Percutaneous transhepatic papilla balloon dilatation combined with a percutaneous transcystic approach for removing concurrent gallbladder stone and common bile duct stone in a patient with billroth II gastrectomy and acute cholecystitis: a case report. Medicine (Baltimore) 2017; 96 (35) e7964
    CrossrefPubMedGoogle Scholar
  • 35 Wang W, Wang C, Qi H, Wang Y, Li Y. Percutaneous transcystic balloon dilation for common bile duct stone removal in high-surgical-risk patients with acute cholecystitis and co-existing choledocholithiasis. HPB (Oxford) 2018; 20 (04) 327-331
    CrossrefPubMedGoogle Scholar
  • 36 European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol 2016; 65 (01) 146-181
    CrossrefPubMedGoogle Scholar
  • 37 Ozcan N, Kahriman G, Mavili E. Percutaneous transhepatic removal of bile duct stones: results of 261 patients. Cardiovasc Intervent Radiol 2012; 35 (04) 890-897
    CrossrefPubMedGoogle Scholar
  • 38 Han JY, Jeong S, Lee DH. Percutaneous papillary large balloon dilation during percutaneous cholangioscopic lithotripsy for the treatment of large bile-duct stones: a feasibility study. J Korean Med Sci 2015; 30 (03) 278-282
    CrossrefPubMedGoogle Scholar
  • 39 Matsumoto S, Ikeda S, Maeshiro K, Okamoto K, Miyazaki R. Management of giant common bile duct stones in high-risk patients using a combined transhepatic and endoscopic approach. Am J Surg 1997; 173 (02) 115-116
    CrossrefPubMedGoogle Scholar
  • 40 Itoi T, Ishii K, Itokawa F, Kurihara T, Sofuni A. Large balloon papillary dilation for removal of bile duct stones in patients who have undergone a billroth ii gastrectomy. Dig Endosc 2010; 22 (Suppl 1): S98-S102
    CrossrefPubMedGoogle Scholar
  • 41 Liu B, Ma J, Li S. et al. Percutaneous transhepatic papillary balloon dilation versus endoscopic retrograde cholangiopancreatography for common bile duct stones: a multicenter prospective study. Radiology 2021; 300 (02) 470-478
    CrossrefPubMedGoogle Scholar
  • 42 Qian XJ, Dai DK, Zhai RY. Efficacy of percutaneous transhepatic biliary drainage for treatment of malignant obstructive jaundice. Chi J Hepat Surg 2004; 11 (03) 752-754
    Google Scholar
  • 43 Okuno M, Iwashita T, Yasuda I. et al. Percutaneous transgallbladder rendezvous for enteroscopic management of choledocholithiasis in patients with surgically altered anatomy. Scand J Gastroenterol 2013; 48 (08) 974-978
    CrossrefPubMedGoogle Scholar
  • 44 Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 2013; 13 (4, Suppl 2): e1-e15
    CrossrefPubMedGoogle Scholar