Scientific letter Efficacy of daily abdominal self-massage for the prevention of recurrent common bile duct stones after endoscopic biliary sphincterotomy.

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.

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4639 The risk factors for the recurrence of primary common bile duct stones after endoscopic biliary sphincterotomy.

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(00)14486-4 ◽

2000 ◽

Vol 51 (4) ◽

pp. AB190

Author(s):

Dong Il Kim ◽

Myung Hwan Kim ◽

Sung Koo Lee ◽

Dong Wan Seo;Won Boem Choi ◽

Sang Soo Lee ◽

...

Keyword(s):

Risk Factors ◽

Bile Duct ◽

Common Bile Duct ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Endoscopic Biliary Sphincterotomy ◽

Biliary Sphincterotomy

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Combined Endoscopic Biliary Sphincterotomy and Large Balloon Dilation for Large Common Bile Duct Stones

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2006.03.748 ◽

2006 ◽

Vol 63 (5) ◽

pp. AB287 ◽

Cited By ~ 3

Author(s):

Matthew Carnes ◽

Peter B. Cotton ◽

Robert H. Hawes ◽

Christopher Lawrence ◽

Mark Payne ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Balloon Dilation ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Endoscopic Biliary Sphincterotomy ◽

Biliary Sphincterotomy ◽

Large Balloon ◽

Large Balloon Dilation

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Mo1506 Large Size Balloon Dilation of the Ampulla After Biliary Sphincterotomy Facilitate Endoscopic Extraction of Large Common Bile Duct Stones

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2011.03.805 ◽

2011 ◽

Vol 73 (4) ◽

pp. AB367

Author(s):

Gustavo Luz ◽

Eduardo G.H. De Moura ◽

Fauze Maluf-Filho ◽

Tomazo Franzini ◽

Edson Ide ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Balloon Dilation ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Large Size ◽

Biliary Sphincterotomy ◽

Endoscopic Extraction

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Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review

Gastroenterology Research and Practice ◽

10.1155/2009/840208 ◽

2009 ◽

Vol 2009 ◽

pp. 1-12 ◽

Cited By ~ 36

Author(s):

Abolfazl Shojaiefard ◽

Majid Esmaeilzadeh ◽

Ali Ghafouri ◽

Arianeb Mehrabi

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Common Bile Duct Stones ◽

Biliary Colic ◽

Bile Duct Stones ◽

Endoscopic Retrograde ◽

Biliary Sphincterotomy ◽

Meta Review ◽

Laparoscopic Cbd Exploration ◽

Cbd Exploration

Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the surgeons experience in laparoscopy. Endoscopic retrograde cholangiopancreatography with or without endoscopic biliary sphincterotomy, laparoscopic CBD exploration (transcystic or transcholedochal), or laparotomy with CBD exploration (by T-tube, C-tube insertion, or primary closure) are the most commonly used methods managing CBDS. We will review the pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities.

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