Preoperative Evaluation of Common Bile Duct Stones in Patients with Gallstone Disease

2005 ◽  
Vol 184 (6) ◽  
pp. 1854-1859 ◽  
Author(s):  
Young-Jin Kim ◽  
Myeong Jin Kim ◽  
Ki Whang Kim ◽  
Jae Book Chung ◽  
Woo Jung Lee ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Preoperative Evaluation ◽  
Gallstone Disease ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones

The role of 99mTc mebrofenin hepatobiliary scanning in predicting common bile duct stones in patients with gallstone disease

2004 ◽  
Vol 25 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Mohammed Iqbal ◽  
Sandeep Aggarwal ◽  
Rakesh Kumar ◽  
Pramod Kumar Garg ◽  
Suman Bandhu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones

scholarly journals Is Preoperative Evaluation of the Biliary Tree Necessary in Uncomplicated Gallstone Disease?

2005 ◽  
Vol 94 (1) ◽  
pp. 31-33 ◽  
Author(s):  
J. Järhult
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Statistical Difference ◽  
Preoperative Evaluation ◽  
Gallstone Disease ◽  
Common Bile Duct Stones ◽  
Biliary Tree ◽  
Control Group ◽  
Bile Duct Stones ◽  
Intravenous Cholangiography

Aim: To analyse if preoperative radiology is of value in patients with uncomplicated gallstone disease. Material: 312 patients intended for laparoscopic cholecystectomy were randomly allocated to undergo preoperative radiology (intravenous cholangiography or magnetic resonance cholangiography) or to a control group. Intraoperative cholangiography was not used routinely in either group. Results: There was no bile duct injury and no difference in complication frequency between the two groups. The incidence of common bile duct stones was 3,8 % within the first postoperative year with no statistical difference between the two groups. Conclusions: Routine preoperative evaluation of the bile tree seems unnecessary before laparoscopic cholecystectomy in patients with uncomplicated gallstone disease.

scholarly journals CLINICAL EFFICIENCY OF OPEN AND ENDOSCOPIC INTERVENTIONS WITH OBSTACLES OF THE TERMINAL DEPARTMENT OF CHOLEDOCH IN PATIENTS WITH GALLSTONE DISEASE OF ELDERLY AND SENILE AGE

2021 ◽  
pp. 43-47
Author(s):  
D. Riazanov ◽  
Yu. Mikheiev ◽  
O. Shpylenko
Keyword(s):  
Bile Duct ◽  
Postoperative Complications ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Postoperative Mortality ◽  
Common Bile Duct Stones ◽  
Endoscopic Management ◽  
Bile Duct Stones ◽  
The Common ◽  
Terminal Section

Summary. Purpose. To optimize the tactics of endoscopic interventions for cholelithiasis complicated by obstruction of the terminal portion of the common bile duct to reduce the incidence of postoperative complications and mortality in elderly and senile people. Materials and methods. The results of examination and treatment of 221 elderly and senile patients with cholelithiasis complicated by obstruction of the terminal section of the common bile duct were analyzed. Results. Using of existing methods and proposed new methods of endoscopic management of cholelithiasis complicated by obstruction of the terminal section of the common bile duct allow to reliably reduce the incidence of postoperative complications in elderly and senile patients from 19.8 to 9.5%, postoperative mortality from 10.3 to 2.9% Conclusions. In elderly and senile patients with obstruction of the terminal section of the common bile duct and common bile duct stones who bear high operational risk, endoscopic papillosphincterotomy with stone removal is a sufficient method of treatment. In case of unremovable common bile duct stones, endoscopic papillosphincterotomy and stenting allow to avoid revision of the common bile duct, and in high-risk patients those methods allow to refrain from open surgery.

scholarly journals One-stage lapro-endoscopic procedure in the management of concomitant gallbladder and common bile duct stones: institutional experience

2019 ◽  
Vol 6 (5) ◽  
pp. 1447
Author(s):  
Ahmed M. Abdelaziz Hassan ◽  
Ayman M. Abdelaziz ◽  
Mohamed Emad Esmat ◽  
Hussam Hamdy ◽  
Magdy M. Elsebae
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Operating Time ◽  
Common Bile Duct Stones ◽  
Biliary Duct ◽  
Bile Duct Stones ◽  
Stone Clearance ◽  
One Stage ◽  
Cbd Stone

Background: Still there is no standard technique for managing patients with concomitant gallbladder (GB) and common bile duct stones (CBDS). In this work, we report our experience of the management for gallstone disease and biliary duct calculi as a single stage treatment.Methods: Forty Patients with symptomatic gall bladder calcular disease and suspected CBDS were enrolled in the study. The outcome measures were operating time, CBD stone clearance, postoperative morbidity and mortality, the need to conversion to other techniques and hospital stay.Results: They were 13 males and 27 females of median age 43 years old. Intra opertative cholangiography (IOC) revealed single CBD stone in twenty-eight, two stones in eleven and three stones in only one of the patients. The mean operating time had been 175 min. There were no intraoperative complications with a mean hospital stay was 1.8 days (range, 1-4 days).Conclusions: One-stage lapro-endoscopic procedure in the management for gallstone disease and biliary duct calculi is safe and efficient in CBD stone clearance. It is preferred when facilities and experience in endoscopic therapy exist.

scholarly journals Appropriate Patient Selection in the Management of Common Bile Duct Stones: When Not to Do ERCP

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Palak Jitendrakumar Trivedi ◽  
Donald Tse ◽  
Ibrahim Al-Bakir ◽  
Horace D'Costa
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Strong Association ◽  
Common Bile Duct Stones ◽  
Normal Liver ◽  
High Risk Group ◽  
Bile Duct Stones

Background. Magnetic resonance cholangiopancreatography (MRCP) is noninvasive and accurate for diagnosing intra common bile duct stones (ICSs). However, given limited access, routine utilisation for investigating all patients with gallstone disease is neither practical nor cost-effective. Conversely, many individuals proceed directly to endoscopic retrograde cholangiopancreatography (ERCP), an invasive test with appreciable complications. Aim. Identify factors associated with ICS in order to improve risk-stratification for MRCP/ERCP. Methods. All patients having undergone cholecystectomy between November 2007 and October 2008 were reviewed. High-risk features for ICS were predefined, and their true presence confirmed by ERCP or intraoperative cholangiogram. Multivariate logistic regression was performed on candidate risk features. Results. Of 231 patients, 10.4% had ICS. Defining a high-risk group with “both” biochemical and ultrasound risk factors predicted ICS with 92% specificity and also bore strong association (OR 8.88). However, isolated hyperbilirubinaemia, ultrasound impression of CBD stones, and clinical risk factors did not (OR 1.10, 0.97, and 1.26). Normal liver biochemistry and normal ultrasound had a NPV of 99.5% for ICS. Conclusions. Ultrasound impression of CBD calculi without ductal dilatation is not predictive of ICS. Patients with normal liver biochemistry and normal CBD diameter on ultrasound are unlikely to have ICS and should not proceed to ERCP.

scholarly journals Management of Common Bile Duct Stones Encountered During Cholecystectomy in Patients With Previous Gastric Bypass

2021 ◽  
Vol 8 ◽  
Author(s):  
Agnieszka Popowicz ◽  
Susanne Sanamrad ◽  
Bahman Darkahi ◽  
Rebecka Zacharias ◽  
Gabriel Sandblom
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Operation Time ◽  
Common Bile Duct Stones ◽  
Rapid Weight Loss ◽  
Bile Duct Stones ◽  
Laparoscopic Choledochotomy ◽  
Significant Difference

Background: Rapid weight loss following gastric bypass (GBP) predisposes to the development of gallstones, and in those who develop gallstone disease there is a high prevalence of common bile duct stones (CBDS). Furthermore, in these patients, CBDS are difficult to extract due to the altered upper gastrointestinal anatomy following GBP. The aim of the present study was to assess outcome after various management methods applied in the counties of Stockholm and Uppsala, Sweden.Methods: Data from the Swedish Register for Gallstone Surgery and ERCP (GallRiks) and the Swedish Obesity Surgery Register (SoReg) were crossmatched to identify all patients who had undergone gallstone surgery after GBP, where CBDS were found at intraoperative cholangiography, in the Stockholm and Uppsala counties 2009–2013. A retrospective review of patient records was performed for all patients identified.Results: In all, 55 patients were identified. These were managed as follows: expectancy (N = 11); transgastric ERCP (N = 2); laparoscopic choledochotomy (N = 3); open choledochotomy (N = 5); transcystic stone extraction (N = 12); and other approach (N = 13). In nine cases, data on management could not be found. There were nine cases of minor postoperative complication. No retained stones were registered. The operation time was longer for transgastric ERCP (p = 0.002), and the postoperative stay was longer following open and laparoscopic choledochotomy (p < 0.001). There was no statistically significant difference between any of the methods regarding the incidence of postoperative complications (p = 0.098).Discussion: Further development of techniques for managing CBDS discovered in patients undergoing cholecystectomy after previous GBP are needed, as well as more comparative studies with greater statistical power.

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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