Case challenge · Surgical approach decision / Hepatobiliary surgery / GI endoscopy · teaching

Common Bile Duct Stones · ERCP vs Laparoscopic Bile Duct Exploration · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ASGE 2019 / SAGES

Case #1Surgical approach decision / Hepatobiliary surgery / GI endoscopy

📋 Case data

Cholangitis? + ASGE risk stratificationIntermediate-risk (abnormal LFTs/age >55/dilated CBD)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Cholangitis? + ASGE risk stratification

Acute cholangitis? ASGE risk stratification?

💡 High-risk markers: CBD stone on US/CT, clinical cholangitis, bilirubin >4 mg/dL + CBD >6 mm.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.