RESULTS OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY COMBINED WITH SPHINCTEROTOMY IN TREATMENT OF COMMON BILE DUCT STONES

2015 ◽  
pp. 70-76
Author(s):  
Khanh Vinh ◽  
Van Huy Tran ◽  
Dinh Hy Trinh
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Influential Factors ◽  
Influential Factor ◽  
Endoscopic Retrograde ◽  
Cross Sectional

Background: Common bile duct stone is the popular disease which leads to more severe complication. Endoscopic retrograde cholangiopancreatography is a useful therapy in treatment of common bile duct stone. However, the success of this therapy must depend on several specific impacts including the number of stones, stone diameter, diverticulum and endoscopist. Thus, we have performed this research on two major purposes: 1) to evaluate the results and complication of ERCP in treatment of common bile duct stone; and 2) to determine the influential factors causing failure of this therapy. Patients/Research methods: A total of 64 patients are involved in the treatment at the gastrointestinal endoscopic center. Methods: A cross - sectional study. Result: CBD stone with size from 10 – 20mm makes up the highest proportion of 76.7%. A single stone makes up for the large proportion at 68.7%. The successful rate of CBD is 89.1%. The rate of complication is 10.9%. The influential factor for failure of ERCP: The patients undergoing operation have diverticulum and large stone. Conclusion: ERCP is an effective and safe therapy for treatment CDB stone. Key words: Common bile duct stone, endoscopic retrograde cholangiopancreatography.

scholarly journals The Efficacy of Early Scheduled Follow-Up Endoscopic Retrograde Cholangiopancreatography after Common Bile Duct Stone Removal

Gut and Liver ◽  
2011 ◽  
Vol 5 (1) ◽  
pp. 65-69 ◽  
Author(s):  
Jin Nam Kim ◽  
Hong Sik Lee ◽  
Sung Woo Jung ◽  
Ja Seol Koo ◽  
Hyung Joon Yim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Endoscopic Retrograde ◽  
Stone Removal

scholarly journals Broken stent of endoscopic retrograde cholangiopancreatography mimicking a common bile duct stone: a case report

2019 ◽  
Vol 7 (5) ◽  
pp. 1960
Author(s):  
Thirugnanasambandam Nelson ◽  
AmudaRavichandar Pranavi ◽  
Sathasivam Sureshkumar ◽  
GubbiShamanna Sreenath ◽  
Ananthakrishnan Ramesh ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Biliary Stent ◽  
Stent Fracture ◽  
Endoscopic Stenting ◽  
Endoscopic Retrograde ◽  
Distal Common Bile Duct

Long standing biliary stent for biliary stricture may have complications like cholangitis, cholecystitis, stent fracture and stent migration. Treatment includes re-do endoscopic retrograde cholangiopancreatography, removal of fractured stent and restenting. Authors report a case of fractured biliary stent mimicking as distal common bile duct stone. Patient presented with features of cholangitis with history of endoscopic stenting 6 years back but lost follow up thereafter. Ultrasound showed 2cm calculus in distal common bile duct and the stent was seen on endoscopy through the papilla in the duodenum. Contrast enhanced computed tomography of abdomen showed radio opaque dense shadow in the distal common bile duct suggesting possibility of broken biliary stent. Redo endoscopic retrograde cholangiopancreatography failed to remove the fractured stent. A new stent was placed without complications. Patient underwent open common bile duct exploration and the fractured stent was removed. Patient recovered completely after the procedure.

scholarly journals ERCP Features and Outcome in Patients with Periampullary Duodenal Diverticulum

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Amir Houshang Mohammad Alizadeh ◽  
Esmaeil Shamsi Afzali ◽  
Anahita Shahnazi ◽  
Mirhadi Mousavi ◽  
Siavash zafar Doagoo ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stone ◽  
Clinical Laboratory ◽  
Bile Duct Stone ◽  
Duodenal Diverticulum ◽  
Endoscopic Retrograde ◽  
Periampullary Diverticulum ◽  
Baseline Characteristics

Background. Although periampullary diverticulum is usually asymptomatic and discovered incidentally in patients during endoscopic retrograde cholangiopancreatography (ERCP), it may lead to post-ERCP morbidity. We compared baseline characteristics and clinical data as well as ERCP results in patients with and without periampullary diverticulum. Methods. Clinical, laboratory, and ERCP data of 780 patients referred to the Taleghani Hospital, as a great referral endoscopy center, in Iran were prospectively analyzed. Results. The periampullary diverticulum was identified in 44 patients (5.6%). Cannulation of common bile duct was more failed in patients with diverticulum compared to others (35.5% versus 11.5, P<0.001). Patients with diverticulum had eight times more often common bile duct stone compared to patients without diverticulum (54.5% versus 12.2%, P<0.001). Post-ERCP complications were observed in 2.3% and 4.2% of patients with and without diverticulum, respectively, which did not significantly differ in both groups. Conclusion. Because of more failure cannulation in the presence of periampullary diverticulum, ERCP requires more skills in these patients. Prevalence of common bile duct stone was notably higher in patients with diverticulum; therefore, more assessment of bile stone and its complications in these patients is persistently recommended.

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