MRCP2-1830

MRCP2-1830

A 57-year-old man presents to the hospital with sudden onset severe central abdominal pain that radiates to his back. He is jaundiced, tachycardic, and has central and epigastric abdominal tenderness. Blood tests reveal elevated white cell count, neutrophils, amylase, ALT, AST, ALP, LDH, glucose, sodium, urea, and creatinine. An abdominal ultrasound shows the presence of a common bile duct stone, several stones in the gallbladder, and intrahepatic duct dilatation. Based on the British Society of Gastroenterology guidelines on the management of common bile duct stones (2008), what is the most appropriate course of action for managing his biliary disease?