Malignant obstruction of the common bile duct: long-term results of Gianturco-Rosch metal stents used as initial treatment.

Radiology ◽  
1994 ◽  
Vol 192 (3) ◽  
pp. 663-667 ◽  
Author(s):  
J R Mathieson ◽  
R F McLoughlin ◽  
P L Cooperberg ◽  
C C Prystai ◽  
S N Stordy ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Initial Treatment ◽  
Long Term Results ◽  
Metal Stents ◽  
Malignant Obstruction ◽  
The Common

Cystic dilatation of the common bile duct: Surgical treatment and long-term results

1994 ◽  
Vol 81 (3) ◽  
pp. 433-436 ◽  
Author(s):  
T. Benhidjeb ◽  
B. Münster ◽  
K. Ridwelski ◽  
B. Rudolph ◽  
H. Mau ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Long Term Results ◽  
Cystic Dilatation ◽  
The Common

scholarly journals COMPLICATIONS OF TRANSPAPILLARY ENDOSCOPIC INTERVENTIONS (TEI)

2020 ◽  
pp. 104-108
Author(s):  
T. I. Tamm ◽  
K. A. Kramarenko ◽  
I. N. Mamontov ◽  
V. V. Nepomnyashchy ◽  
A. P. Zakharchuk ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Distal Part ◽  
Pancreatic Necrosis ◽  
Long Term Results ◽  
External Drainage ◽  
X Ray ◽  
The Common ◽  
Selective Cannulation

Summary. Objective — a retrospective analysis of the causes of TEI complications and the results of their treatment. Materials and methods. The long-term results of performed TEI in 2909 patients were analyzed. The most common indication for TEI was choledocholithiasis, which was found in 1873 (65.4 %) patients and stenosis of papilla was detected in 454 (15.6 %) patients. Complications arose in 112 (3.85 %) patients. 4 (0.14 %) patients died. Results. Bleeding occurred in 28 (0.96 %) patients. In 12 of 26 patients, endoscopic hemostatic manipulations were additionally performed. Two patients with profuse bleeding from a papillotomy wound were urgently operated on, one patient died. Acute pancreatitis occurred in 68 (2.33 %) patients, of which 56 (1.92 %) had an edematous form, and 12 (0.41 %) patients had a destructive form. 11 patients were operated on from 2 to 15 days from the onset of the disease. Two patients with pancreatic necrosis died of intoxication, the source of which was progressive retroperitoneal necrosis. In 5 (0.17 %) patients, intervention on the papilla was complicated by perforation of the wall of the duodenum. 4 out of 5 patients were urgently operated on (B-2 antrumectomy, external drainage of the common bile duct and retro duodenal space). All 4 patients recovered. In 1 patient, complication was diagnosed on the 5th day after the intervention, which led to delayed surgery and the death of the patient. In 11 patients (0.38 %), a Dormia basket with a stone in the distal part of the common bile duct wedged when trying to extract it. Only one of 11 patients was operated on as planned; in the remaining 10, the problem was resolved with repeated TEI. Conclusions. Punctual technical implementation of all stages of manipulation, selective cannulation of the bile ducts, careful x-ray control of the position and advancement of the instrument in the ducts helps to reduce the number of complications after TEI.

Is the use of fully covered metal stents effective in the treatment of difficult lithiasis of the common bile duct?

2022 ◽  
Author(s):  
Giuseppe Grande ◽  
Flavia Pigò ◽  
Luciana Avallone ◽  
Helga Bertani ◽  
Santi Mangiafico ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Metal Stents ◽  
The Common

The long term results of endoscopic sphincterotomy (ES) for common bile duct lithiasis

1995 ◽  
Vol 41 (4) ◽  
pp. 387
Author(s):  
N. Abdel Malak ◽  
F. Prat ◽  
G. Pelletier ◽  
C. Buffet ◽  
J. Fritsch ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Long Term Results

scholarly journals Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy

2017 ◽  
Vol 11 (2) ◽  
pp. 428-433 ◽  
Author(s):  
Hrudya Abraham ◽  
Sajan Thomas ◽  
Amit Srivastava
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Clinical Manifestations ◽  
Rare Condition ◽  
Endoscopic Retrograde ◽  
Distal Common Bile Duct ◽  
History Of ◽  
The Common

Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article.

scholarly journals Referral Pattern, Management, and Long-Term Results of Laparoscopic Bile Duct Injuries: A Case Series of 44 Patients

Medicina ◽  
2012 ◽  
Vol 48 (3) ◽  
pp. 19 ◽  
Author(s):  
Giedrius Barauskas ◽  
Saulius Paškauskas ◽  
Žilvinas Dambrauskas ◽  
Antanas Gulbinas ◽  
Juozas Pundzius
Keyword(s):  
Bile Duct ◽  
Initial Treatment ◽  
Immediate Early ◽  
Long Term Results ◽  
Rank Test ◽  
Endoscopic Stenting ◽  
Bile Duct Injuries ◽  
Log Rank Test ◽  
The Mean

Background and Objective. The incidence of bile duct injuries (BDIs) after laparoscopic cholecystectomy (LC) is higher than after open cholecystectomy, and the management of these lesions is still controversial. This study analyzed diagnostic and management strategies as well as long-term outcomes after BDI. Material and Methods. A prospective database of patients with BDIs at the Clinic of Surgery was maintained during the 8-year period (2000–2007). The long-term results were evaluated during 2008–2010, after 36- to 120-month follow-up (median, 84 months). Results. In our series, 21 patients (48%) presented with minor and 23 (52%) with major BDIs. The overall incidence of BDIs was 0.24%. In 92% of cases in the minor BDI group, endoscopic stenting resulted in a good outcome. Major BDIs were treated by immediate, early, or delayed surgery depending on the timeliness of diagnosis and presence of biliary sepsis and/or cholangitis. The mean estimated time to failure after the initial treatment in the minor BDI group was significantly longer when compared with the major BDI group (114.3 vs. 81.8 months, log-rank test P=0.048). The hazard ratio of initial treatment failure after major versus minor BDIs was 6.06 (95% CI, 1.01–17.59). The mean estimated time to develop a biliary stricture after immediate, early, and delayed reconstructions was not different (P>0.05 in pairwise comparisons by log-rank test). Conclusions. Minor BDIs are best served by endoscopy, while surgical repair may be an efficient option when injury is diagnosed intraoperatively. The timing of reconstruction after major BDIs does not portend a different outcome; consequently, every attempt to achieve infection control should be warranted. Referral to a tertiary care center should be encouraged to facilitate a proper classification of preoperative injuries and multidisciplinary approach

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