Comprehensive review on small common bile duct stones

Masuda, Sakue; Koizumi, Kazuya; Shionoya, Kento; Jinushi, Ryuhei; Makazu, Makomo; Nishino, Takashi; Kimura, Karen; Sumida, Chihiro; Kubota, Jun; Ichita, Chikamasa; Sasaki, Akira; Kobayashi, Masahiro; Kako, Makoto; Uojima, Haruki

doi:10.3748/wjg.v29.i13.1955

Cited by 4 publications

(2 citation statements)

References 63 publications

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“…In general, laparoscopic cholecystectomy (LC) is considered as the preferred method for treating benign gallbladder diseases because of its advantages of short operation time, minimal trauma, and rapid postoperative recovery[ 5 ]. In addition, LC combined with endoscopic papillary balloon dilation (EPBD) and LC combined with endoscopic sphincterotomy (EST) have been widely used to treat GS combined with CBDS[ 6 ]. The application of EPBD has been reported to result in a decreased occurrence of recurrent cholecystitis, cholangitis, and bile duct stones when compared to EST[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of laparoscopic cholecystectomy combined with endoscopic papillary balloon dilation in treatment of gallbladder stones with common bile duct stones: A retrospective study

Liu,

Zhang,

et al. 2024

World J Gastrointest Surg

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BACKGROUND The incidence of cholelithiasis has been on the rise in recent years, but the choice of procedure is controversial. AIM To investigate the efficacy of laparoscopic cholecystectomy (LC) combined with endoscopic papillary balloon dilation (EPBD) in patients with gallbladder stones (GS) with common bile duct stones (CBDS). METHODS The clinical data of 102 patients with GS combined with CBDS were selected for retrospective analysis and divided into either an LC + EPBD group (n = 50) or an LC + endoscopic sphincterotomy (EST) group (n = 52) according to surgical methods. Surgery-related indexes, postoperative recovery, postoperative complications, and expression levels of inflammatory response indexes were compared between the two groups. RESULTS Total surgical time, stone free rate, rate of conversion to laparotomy, and successful stone extraction rate did not differ significantly between the LC + EPBD group and LC + EST group. Intraoperative hemorrhage, time to ambulation, and length of hospitalization in the LC + EPBD group were lower than those of the LC + EST group (P < 0.05). The rate of total complications of the two groups was 9.80% and 17.65%, respectively, and the difference was not statistically significant. No serious complications occurred in either group. At 48 h postoperatively, the expression levels of interleukin-6, tumor necrosis factor-α, high-sensitivity C-reactive protein, and procalcitonin were lower in the LC + EPBD group than in the LC + EST group (P < 0.05). At 3 d postoperatively, the expression levels of aspartate transaminase, alanine transaminase, and total bilirubin were lower in the LC + EPBD group than in the LC + EST group (P < 0.05). CONCLUSION LC combined with EPBD and LC combined with EST are both effective procedures for the treatment of GS with CBDS, in which LC combined with EPBD is beneficial to shorten the patient’s hospitalization time, reduce the magnitude of elevated inflammatory response indexes, and promote postoperative recovery.

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Section: Introductionmentioning

confidence: 99%

Clinical efficacy of laparoscopic cholecystectomy combined with endoscopic papillary balloon dilation in treatment of gallbladder stones with common bile duct stones: A retrospective study

Liu,

Zhang,

et al. 2024

World J Gastrointest Surg

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“…Currently, endoscopic retrograde cholangiopancreatography (ERCP) is widely considered as an effective treatment approach for CBDS. However, it is also a high-risk procedure accompanied due to the risk of several complications, such as post-ERCP pancreatitis (PEP), short- or long-term cholecystitis and recurrence of CBDS ( 5 ), which can be fatal in severe cases ( 6 ). The incidence of PEP is estimated to be 1-40% ( 7 ), but understanding into its pathogenesis and risk factors remains limited.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for post‑retrograde cholangiopancreatography pancreatitis in patients with common bile duct stones: A meta‑analysis

Zhou,

Zhao,

Xing

et al. 2023

Exp Ther Med

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Endoscopic retrograde cholangiopancreatography (ERCP) has become a common treatment method for common bile duct stones. However, ERCP is also associated with a high risk of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP). Identification of risk factors is essential for reducing the incidence of PEP. The present study aimed to summarize the risk factors for PEP by performing a meta-analysis. Therefore, studies published between 2000 and 2022 were screened in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Digital Periodicals and the Weipu Database, with no language restrictions. Newcastle-Ottawa Scale was used to assess the quality of the included studies. Stata 17.0 software was utilized for the meta-analysis of 14 possible risk factors. Overall, 15 high-quality studies were included into the present meta-analysis. The results showed that female [odds ratio (OR), 1.42; 95% CI, 1.23-1.64), age <60 years (OR, 1.53; 95% CI, 1.06-2.21), difficult intubation (OR, 4.87; 95% CI, 2.73-8.68), ≥3 cannulation attempts (OR, 9.64; 95% CI, 4.16-22.35), cannulation time ≥10 min (OR, 2.37; 95% CI, 1.67-3.35), history of pancreatitis (OR, 2.95; 95% CI, 1.06-5.51), pancreatic duct visualization (OR, 3.63; 95% CI, 2.47-5.34) and sphincter of Oddi dysfunction (OR, 5.72; 95% CI, 1.80-18.24) are potential risk factors for PEP (P<0.05). In conclusion, the present meta-analysis suggests that PEP can be affected by several risk factors, particularly the technique-related factors such as the frequency and time of cannulation. Therefore, effective precautions should be taken as early as possible to reduce the incidence of PEP.

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Causal associations of cytokines and growth factors with cholelithiasis: a bidirectional Mendelian randomization study

Su,

Tian

2023

Postgraduate Medical Journal

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Background It has been reported that patients with cholelithiasis may have changes in levels of cytokines and growth factors, while their causal relationships were still unclear. Methods This study was a bidirectional Mendelian randomization (MR) study. Datasets of 41 circulation cytokines and growth factors and the data on cholelithiasis were obtained. Six steps of strict instrumental variable filtration were set, and inverse-variance weighted analysis, MR-Egger regression, and weighted median test were used to identify the causal relationships. Benjamini–Hochberg method was used to adjust the P-values. Results After adjustments of P-values, four cytokines and growth factors were still causally associated with cholelithiasis significantly: interleukin 2 receptor alpha (adjusted P: 4.59E-02), interleukin 8 (adjusted P: 1.09E-02), monocyte-specific chemokine 3 (adjusted P: 2.73E-04), and stem cell factor (adjusted P: 2.73E-04). In the reverse MR analysis, no significant causal relationship was detected after adjustment. Conclusions Four cytokines and growth factors, including interleukin 2 receptor alpha, interleukin 8, monocyte-specific chemokine 3, and stem cell factor, were proven to relate to cholelithiasis causally and unidirectionally.

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Comprehensive review on small common bile duct stones

Cited by 4 publications

References 63 publications

Clinical efficacy of laparoscopic cholecystectomy combined with endoscopic papillary balloon dilation in treatment of gallbladder stones with common bile duct stones: A retrospective study

Clinical efficacy of laparoscopic cholecystectomy combined with endoscopic papillary balloon dilation in treatment of gallbladder stones with common bile duct stones: A retrospective study

Risk factors for post‑retrograde cholangiopancreatography pancreatitis in patients with common bile duct stones: A meta‑analysis

Causal associations of cytokines and growth factors with cholelithiasis: a bidirectional Mendelian randomization study

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