Konsensus Perhimpunan Dokter Spesialis Bedah Digestif Indonesia tentang Pedoman Diagnosis dan Tatalaksana Batu Saluran Empedu

Muhammad Iqbal Rivai (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Andalas, RSUP Dr. M. Djamil, Padang, Indonesia)
Arnetta Naomi Louise Lalisang (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo, Jakarta, Indonesia)
Adianto Nugroho (Divisi Bedah Digestif, Departemen Ilmu Bedah, RSUP Fatmawati, Jakarta, Indonesia)
Agung Ary Wibowo (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Lambung Mangkurat, RSUD Ulin, Banjarmasin, Indonesia)
Adeodatus Yuda Handaya (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Gadjah Mada, RSUP Dr. Sardjito, Yogyakarta, Indonesia)
Fransiscus Arifin (Departemen Bedah, RSUD Dr. M. Soewandhie, Surabaya, Indonesia)
Indah Situmorang (Departemen Bedah, RS Pelni, Jakarta, Indonesia)
Erik Prabowo (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Diponegoro, RSUP Dr. Kariadi, Semarang, Indonesia)
Irwan Irwan (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Andalas, RSUP Dr. M. Djamil, Padang, Indonesia)
Maria Mayasari (Departemen Bedah, RS St. Carolus, Jakarta, Indonesia)
Michael Tendean (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Sam Ratulangi, RSUP Prof. Dr. R.D. Kandou, Manado, Indonesia)
Reno Rudiman (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Padjajaran, RSUP Dr. Hasan Sadikin, Bandung, Indonesia)
Kunsemedi Setyadi (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Diponegoro, RSUP Dr. Kariadi, Semarang, Indonesia)
Muhammad Shobachun Niam (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Brawijaya, RSUD Dr. Saiful Anwar, Malang, Indonesia)
Bambang Suprapto (Departemen Bedah, RSUD Abdul Wahab Sjahranie, Samarinda, Indonesia)
Jeffri Putra (Departemen Bedah, RS Siloam Sriwijaya, Palembang, Indonesia)
Tommy Lesmana (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Airlangga, RSUD Dr. Soetomo, Surabaya, Indonesia)
Yarman Mazni (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo, Jakarta, Indonesia)
Adi Muradi Muhar (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia)
I Made Mulyawan (Departemen Bedah, RS Kasih Ibu, Denpasar, Indonesia)
Warsinggih Warsinggih (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Hasanuddin, RSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia)
Toar Jean Maurice Lalisang (Divisi Bedah Digestif, Departemen Ilmu Bedah, Fakultas Kedokteran Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo, Jakarta, Indonesia)

Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo

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.