Guidelines for the Diagnosis and Management of Common Bile Duct Stones: Indonesian Society of Digestive Surgeons (IKABDI) consensus

  • Muhammad Iqbal Rivai Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Andalas, Dr. M. Djamil Hospital, Padang, Indonesia
  • Arnetta Naomi Louise Lalisang Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Adianto Nugroho Division of Digestive Surgery, Department of Surgery, Fatmawati Hospital, Jakarta, Indonesia
  • Agung Ary Wibowo Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Lambung Mangkurat, Ulin Hospital, Banjarmasin, Indonesia
  • Adeodatus Yuda Handaya Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta, Indonesia
  • Fransiscus Arifin Department of Surgery, Dr. M. Soewandhie Hospital, Surabaya, Indonesia
  • Indah Situmorang Department of Surgery, Pelni Hospital, Jakarta, Indonesia
  • Erik Prabowo Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Diponegoro, RSUP Dr. Kariadi, Semarang, Indonesia
  • Irwan Irwan Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Andalas, Dr. M. Djamil Hospital, Padang, Indonesia
  • Maria Mayasari Department of Surgery, RS St. Carolus Hospital, Jakarta, Indonesia
  • Michael Tendean Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Sam Ratulangi, Prof. Dr. R.D. Kandou Hospital, Manado, Indonesia
  • Reno Rudiman Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Padjajaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
  • Kunsemedi Setyadi Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Diponegoro, RSUP Dr. Kariadi, Semarang, Indonesia
  • Muhammad Shobachun Niam Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar Hospital, Malang, Indonesia
  • Bambang Suprapto Department of Surgery, Abdul Wahab Sjahranie Hospital, Samarinda, Indonesia
  • Jeffri Putra Department of Surgery, Siloam Sriwijaya Hospital, Palembang, Indonesia
  • Tommy Lesmana Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, Indonesia
  • Yarman Mazni Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Adi Muradi Muhar Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Sumatera Utara, H. Adam Malik Hospital, Medan, Indonesia
  • I Made Mulyawan Department of Surgery, Kasih Ibu Hospital, Denpasar, Indonesia
  • Warsinggih Warsinggih Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Hasanuddin, Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia
  • Toar Jean Maurice Lalisang Division of Digestive Surgery, Department of Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. President of Indonesian College of Digestive Surgery
Keywords: Common bile duct stones, Choledocholithiasis, Digestive surgery

Abstract

Introduction: Choledocholithiasis, the presence of stones in the common bile duct (CBD), is a challenge in the field of digestive surgery due to the wide range of cases with varying levels of difficulty. Until now, the options for diagnostic and therapeutic modalities have been increasingly evolving, ranging from non-invasive to invasive procedures. Therefore, the Indonesian Society of Digestive Surgeons provides recommendations for the management of CBD stone cases in Indonesia.
Method: The consensus was developed using the Delphi survey method involving digestive surgery experts from various cities in Indonesia. Several issues related to the diagnosis and management of CBD stones were formulated and answered based on current research, while also considering the opinions of the experts.
Result: This consensus consists of two parts: 15 recommendations related to the selection of diagnostic modalities and 10 recommendations related to management options. Recommendations regarding diagnosis include the use of ultrasonography, abdominal CT-scan, and magnetic resonance cholangiopancreatography (MRCP). In addition to standard therapeutic procedures, this consensus also provides recommendations regarding contemporary procedures such as endoscopic retrograde cholangiopancreatography (ERCP), laparoscopic common bile duct exploration (LCBDE), and open common bile duct exploration (OCBDE).
Conclusion: These recommendations are aimed to assist digestive surgery experts in providing the best management for CBD stone cases.

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Published
2024-05-06
How to Cite
Rivai, M. I., Lalisang, A. N. L., Nugroho, A., Wibowo, A. A., Handaya, A. Y., Arifin, F., Situmorang, I., Prabowo, E., Irwan, I., Mayasari, M., Tendean, M., Rudiman, R., Setyadi, K., Niam, M. S., Suprapto, B., Putra, J., Lesmana, T., Mazni, Y., Muhar, A. M., Mulyawan, I. M., Warsinggih, W., & Lalisang, T. J. M. (2024). Guidelines for the Diagnosis and Management of Common Bile Duct Stones: Indonesian Society of Digestive Surgeons (IKABDI) consensus. Journal Of The Indonesian Medical Association, 74(2), 51 - 63. https://doi.org/10.47830/jinma-vol.74.2-2024-1188
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