Percutaneous Management of Biliary Stones

2021 ◽  
Vol 38 (03) ◽  
pp. 348-355
Author(s):  
Nevzat Ozcan ◽  
Ahsun Riaz ◽  
Guven Kahriman
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Stone ◽  
Stone Formation ◽  
Common Bile Duct Stones ◽  
Percutaneous Treatment ◽  
Stone Disease ◽  
Bile Duct Stones ◽  
Biliary Stones ◽  
Common Causes

AbstractBile duct stone disease is the most common causes of nonmalignant bile duct obstructions. The range of common bile duct stone formation in patients with cholecystectomy is 3 to 14.7%. Hepatolithiasis, although endemic in some parts of the world, is a rare disease that is difficult to manage. Endoscopic intervention is accepted as the first-line management of common bile duct stones. However, when the bile duct cannot be cannulated for various reasons, the endoscopic procedure fails. In this circumstance, percutaneous approach is an alternative technique for the nonsurgical treatment of bile duct stones. This article reviews the indications, technique, outcomes, and complications of the percutaneous treatment of bile duct stone disease.

scholarly journals Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

2016 ◽  
Vol 15 (4) ◽  
pp. 517-521
Author(s):  
Sumita Pradhan ◽  
JN Shah
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Medical Science ◽  
Common Bile Duct Stones ◽  
Biliary Pancreatitis ◽  
Bile Duct Stones ◽  
Acute Biliary Pancreatitis ◽  
The Common

Background: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial.Objectives: To see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis.Materials and Methods: Patients admitted in the surgical ward in Patan and Bir hospital with the diagnosis of mild acute biliary pancreatitis that underwent cholecystectomy with intra operative cholangiography from August 2010 to July 2011 were studied. The outcome of cholangiogram was analyzed together with findings of Common bile duct exploration.Result and Conclusion: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The Common bile duct stone was found in 1.9%. Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration. The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.517-521

Percutaneous Treatment of Common Bile Duct Stones: Results and Complications in 110 Consecutive Patients

2015 ◽  
Vol 32 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Johan F. Kint ◽  
Janneke E. van den Bergh ◽  
Rogier E. van Gelder ◽  
Erik A. Rauws ◽  
Dirk J. Gouma ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Alternative Treatment ◽  
Common Bile Duct Stones ◽  
Pleural Empyema ◽  
Percutaneous Treatment ◽  
Bile Duct Stones ◽  
Cbd Stones ◽  
Percutaneous Extraction ◽  
Number Of Treatment

Background/Aims: Choledocholithiasis is a common complication of cholecystolithiasis, occurring in 15-20% of patients who have gallbladder stones. Endoscopic retrograde cholangio-pancreatography is the standard treatment. When this is not possible or not feasible, percutaneous transhepatic stone removal is an alternative treatment. In this retrospective study, we analyze 110 patients who were treated with percutaneous transhepatic removal of Common Bile Duct (CBD) stones. Patients and Methods: Between March 1998 and September 2013 110 patients (61 men, 49 women; aged 14-96, mean age 69.7 years) with confirmed bile duct stones were included. PTC was done using ultrasound and fluoroscopy. Balloon dilatation of the papilla was done with 8-12 mm balloons. If stone size exceeded 10 mm, mechanical lithotripsy was performed. Stones were then removed by percutaneous extraction or evacuation into the duodenum. Results: In 104 patients (104/110; 94.5%) total stone clearance of the CBD was achieved. A total of 12 complications occurred (10.9%), graded with the Clavien-Dindo scale as IVa, IVb, and V, respectively; hypoxia requiring resuscitation, sepsis and death due to ongoing cholangiosepsis (n = 1, 4, 1). Minor complications I, II, and IIIa included: small liver abscess, pleural empyema, transient hemobilia and mild fever (n = 1, 1, 2, 2). Conclusion: Percutaneous removal of CBD stones is an effective alternative treatment, when endoscopic treatment is contra-indicated, fails or is not feasible. It is effective, has a low complication rate and using deep sedation potentially requires only a very limited number of treatment sessions.

scholarly journals Post-ERCP Dormia basket impaction: a case report and literature review

2021 ◽  
Vol 8 (12) ◽  
pp. 3692
Author(s):  
Alaaeldin Mohamed Sedik ◽  
Abrar Hussein ◽  
Abdelmajid Alshimary ◽  
Mostafa Elsayed ◽  
Ahmed Alzayed ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Endoscopic Retrograde ◽  
Dormia Basket ◽  
Life Threatening ◽  
Cbd Stone

The incidence of Common bile duct stones (CBD) in patients undergoing cholecystectomy is 10%. The present-day management of common bile duct stone may be pre-, intra-, or post-operative Endoscopic retrograde cholangio-pancreatography (ERCP) with stone extraction. The reported complications of ERCP and CBD stone extraction range from 5 to 10% cases, that might be life threatening. Herein, we reported a case of calculus obstructive jaundice and cholangitis. Unfortunately, trials for ERCP and stone retrieval was followed by impacted Dormia basket which was successfully managed by surgerys.

Giant common bile duct stone

Open Medicine ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. 59-62
Author(s):  
Hyung Han ◽  
Jin Lee ◽  
Tae Song
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Acute Cholangitis ◽  
Common Bile Duct Stones ◽  
Normal Liver ◽  
Liver Function Tests ◽  
Bile Duct Stones ◽  
Large Size

AbstractBile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.

scholarly journals Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

2016 ◽  
Vol 17 (1) ◽  
pp. 11-15
Author(s):  
S Pradhan ◽  
S Shah ◽  
S Maharjan ◽  
JN Shah
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Common Bile Duct Exploration ◽  
Biliary Pancreatitis ◽  
Bile Duct Stones ◽  
Acute Biliary Pancreatitis ◽  
The Common

Introduction: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial. Objective of the study was to see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis. Methods: Patients admitted in the surgical ward in Patan Hospital and Bir Hospital with the diagnosis of mild acute biliary pancreatitis who underwent cholecystectomy with intra-operative cholangiography from August 2010 to July 2012 were studied. The outcome of cholangiogram was analyzed together with findings of common bile duct exploration. Results: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The common bile duct stone was found in 1.9%.  Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration.Conclusion: The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis.Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 11-15

scholarly journals Stentolith of common bile duct – a case report

2016 ◽  
Vol 19 (2) ◽  
pp. 28-29
Author(s):  
Sumita Pradhan ◽  
Bishnu Kandel ◽  
Paleswan Joshi Lakhey
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Foreign Bodies ◽  
Stone Formation ◽  
Case Reports ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Biliary Stents ◽  
Stone Removal

Foreign bodies acting as a nidus for stone formation are commonly reported but there are only few case reports on forgotten biliary stents. ERCP and stone removal with or without stenting for common bile duct stones are getting quite popular and there have been instances where the stent has been forgotten either by the patient or the physician.

scholarly journals Surgical management of the impacted dormia basket during ERCP

2019 ◽  
Vol 6 (5) ◽  
pp. 1783 ◽  
Author(s):  
Cherring Tandup ◽  
Lileswar Kaman ◽  
Saroj Kant Sinha
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Endoscopic Retrograde ◽  
Dormia Basket ◽  
Cbd Stone

The incidence of associated common bile duct stones in patients undergoing cholecystectomy is 10%. The present day management of common bile duct stone is pre- or post-operative endoscopic retrograde cholangio-pancreatography and clearance of common bile duct. Complications of ERCP and CBD stone extraction have been reported to occur in 5 to 10% cases which may range from mild to life threatenin Here we report a case of cholelithiasis with choledocholithiasis with obstructive jaundice and patient while undergoing ERCP and stone retrieval had complication of impacted dormia basket which was managed by surgery. 

scholarly journals Incidence of Choledocholithiasis in Gallstone Disease in Eastern Zone of India: A Single Centre Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1417
Author(s):  
Mrigendra Kumar Rai ◽  
Vinod Kumar
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Tertiary Care ◽  
Gall Stone ◽  
Common Bile Duct Stones ◽  
Stone Disease ◽  
Care Hospital ◽  
Bile Duct Stones ◽  
Gall Stone Disease

<p><strong>Background</strong>: Common bile duct stones are found in 10-15% of patients having gall stone disease and the incidence increases with the age, both in India and in western countries and the majority of common bile duct stones are secondary to gall bladder stones, their incidence is more in Northern India.</p><p><strong>Objective</strong>: To study the incidence of common bile duct stone in patients having gall stone disease in tertiary care hospital.</p><p><strong>Methods</strong>: This was a cross sectional study of 125 patients admitted in different wards of the department of surgery on the basis of symptoms and signs of gall stone disease and latter on trans-abdominal ultrasound and MRCP confirmed that 18.4% of total patients having also choledocholithiasis.</p><p><strong>Result</strong>: Incidence of choledocholithiasis was 18.4% in patients having gall stone disease. It was 3 times more common in females. Maximum incidence 35% in between 40-49 years, obese (52%) and middle socio-economic group (74%).</p><p><strong>Conclusion</strong>: Incidence of choledocholithiasis is in increasing trend and is more common in females in between 40-49 years age group. Obesity is the commonest risk factor.</p>

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