The Successful Use of Peroral Cholangioscopy for the Diagnosis and Treatment of the Biliary Tract Lesions and Giant Bile Duct Stones in a 76-Year-Old Man

2009 ◽  
Vol 19 (6) ◽  
pp. e237-e240
Author(s):  
Yuji Sakai ◽  
Toshio Tsuyuguchi ◽  
Takeshi Ishihara ◽  
Harutoshi Sugiyama ◽  
Kaoru Miyakawa ◽  
...  
Keyword(s):  
Bile Duct ◽  
Biliary Tract ◽  
Diagnosis And Treatment ◽  
Bile Duct Stones ◽  
Peroral Cholangioscopy

Gallstones and Biliary Tract Emergencies

2020 ◽  
Author(s):  
Luis F. Lobon ◽  
Michael Billington
Keyword(s):  
Abdominal Pain ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Acute Cholecystitis ◽  
Biliary Tract ◽  
Bile Ducts ◽  
Gallbladder Disease ◽  
Diagnosis And Treatment ◽  
Hepatic Bile ◽  
Ascending Cholangitis

Patients with diseases of the biliary tract (which includes the hepatic bili canaliculi, hepatic bile ducts, common bile duct, and gallbladder) typically present with symptoms that include abdominal pain, nausea, vomiting, and jaundice. This review covers the pathophysiology, assessment and stabilization, diagnosis and treatment, and disposition and outcomes for common biliary tract emergencies (cholelithiasis, acute cholecystitis, choledocholithiasis, and ascending cholangitis).  This review contains 5 figures, 11 tables, and 34 references. Keywords: Cholelithiasis, gallbladder disease, acute cholecystitis, gallstones, choledocholithiasis, ascending cholangitis

scholarly journals Risk factors for recurrence of common bile duct stones after endoscopic biliary sphincterotomy

2018 ◽  
Vol 46 (7) ◽  
pp. 2595-2605 ◽  
Author(s):  
Sujuan Li ◽  
Bingzhong Su ◽  
Ping Chen ◽  
Jianyu Hao
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Tract ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Endoscopic Biliary Sphincterotomy ◽  
Biliary Tract Surgery ◽  
Biliary Sphincterotomy ◽  
Risk Factors For Recurrence

Objective Late complications after endoscopic biliary sphincterotomy (EST) include stone recurrence, but no definite risk factors for recurrence have been established. This study was performed to identify the predictors of recurrence and evaluate the clinical outcomes of EST for common bile duct stones. Methods In total, 345 eligible patients who successfully underwent EST were evaluated and followed up. Statistical analysis was performed on patients with recurrence or who had undergone at least 6 months of reliable follow-up to detect the risk factors for recurrence. Results A total of 57 patients (16.52%) developed recurrence of common bile duct stones. The median length of time until recurrence was 10.25 months (range, 6–54.4 months). Univariate analyses showed that the following factors were associated with recurrence: cholecystectomy prior to EST, prior biliary tract surgery, periampullary diverticulum, diameter of the common bile duct (>15 vs. ≤15 mm), quantity of stones, complete stone removal at the first session, and lithotripsy. Multivariate analysis identified two independent risk factors for recurrence: previous biliary tract surgery and lithotripsy. Conclusions EST for common bile duct stones is safe as indicated by patients’ long-term outcomes. Patients with a history of biliary surgery or lithotripsy are more prone to recurrence.

Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones

2012 ◽  
Vol 24 (6) ◽  
pp. 656-664 ◽  
Author(s):  
Evangelos Kalaitzakis ◽  
George J. Webster ◽  
Kofi W. Oppong ◽  
Yiannis Kallis ◽  
Panagiotis Vlavianos ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Peroral Cholangioscopy ◽  
Single Operator ◽  
Therapeutic Utility

Direct Peroral Cholangioscopy Using an Ultra-Slim Upper Endoscope for the Treatment of Retained Bile Duct Stones

2009 ◽  
Vol 104 (11) ◽  
pp. 2729-2733 ◽  
Author(s):  
Jong Ho Moon ◽  
Bong Min Ko ◽  
Hyun Jong Choi ◽  
Hyun Cheol Koo ◽  
Su Jin Hong ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Peroral Cholangioscopy ◽  
Direct Peroral Cholangioscopy

scholarly journals Diagnostic and therapeutic utility of spyglass peroral cholangioscopy for indeterminate biliary lesions and bile duct stones

Gut ◽  
2011 ◽  
Vol 60 (Suppl 1) ◽  
pp. A191-A192 ◽  
Author(s):  
E. Kalaitzakis ◽  
G. Webster ◽  
P. Vlavianos ◽  
R. Burnham ◽  
Y. Kallis ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Peroral Cholangioscopy ◽  
Therapeutic Utility

scholarly journals FIBROCHOLODOSCOPY IN DIAGNOSTICS AND TREATMENT OF COMPLEX FORMS OF CHOLEDOCHOLITHIASIS

2019 ◽  
Vol 21 (1) ◽  
pp. 43-46
Author(s):  
K V Pavelets ◽  
A K Ushkats ◽  
D V Gacko
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Tract ◽  
Surgical Procedures ◽  
Bile Ducts ◽  
Diagnosis And Treatment ◽  
The Common ◽  
Complex Forms

Relevance of the topic: endoscopic intraoperative choledochoscopy with traditional surgical procedures is a highly informative research in the diagnosis and treatment of choledocholithiasis. Objective: to evaluate the effectiveness of intraoperative use of fibrocholedochoscopy in the diagnosis and treatment of "complex" forms of choledocholithiasis. Materials and methods: Between 2011 and 2017, 88 patients underwent treatment for "complicated" forms of choledocholithiasis using intraoperative fibrocholedochoscopy. Results: after dissection of the choledochal wall and extraction of large concrements from the lumen, a fibrocholedochoscopy was performed. The fibrocholedochoscope was inserted into the lumen of the common bile duct through a formed opening with examination of the biliary tract. An obligatory condition for assessing the permeability of the distal sections of the bile ducts was the carrying out of an endoscope through the OBD zone. The remaining remaining calculi were recovered with the help of Dormia baskets (15 (17%) cases). In 86 (97.7%) patients, the operation is completed by the imposition of a hollow stitch of choledoch (priority reference No. 2018122530, 2018). Conclusion: fibrocholedochoscopy in the treatment of complex forms of choledocholithiasis allows to methodically evaluate the biliary tract, perform lithoextraction from the proximal and distal sections.

scholarly journals When the Going Gets Tough: Utilization of SpyGlass, or Drainage Followed by Stone Removal

2020 ◽  
Vol 25 (1) ◽  
pp. 24-28
Author(s):  
Chi Hyuk Oh
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Biliary Stenting ◽  
Endoscopic Retrograde ◽  
Peroral Cholangioscopy ◽  
Single Operator ◽  
Direct Peroral Cholangioscopy

At least 90% of stones are extracted after conventional endoscopic retrograde cholangiopancreatography. However, some cases are still difficult to manage completely. We describe some methods of removing difficult common bile duct stones through a single-operator cholangioscopy using SpyGlass system, direct peroral cholangioscopy, and temporary biliary stenting.

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