Endoscopic Management of Choledocholithiasis

Sáfrány, L; Cotton, P. B.

doi:10.1016/s0039-6109(16)42832-x

Cited by 64 publications

(24 citation statements)

References 27 publications

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“…Although in this study the 2 endoscopists were one of each of the above, successful ERCP and duct clearance was lower than that quoted in the literature. 9,[20][21][22][23][24][25][26] Excluding failures, the complication rate in this small series of ERCP was minimal. All of the successfully treated patients, however, remained asymptomatic at the end of the study.…”

Section: Choledocholithiasismentioning

confidence: 68%

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Management of gallstone disease in the elderly

Arthur¹,

Edwards²,

Chagla³

2003

Annals of the Royal College of Surgeons of England

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T he latter half of the 20th century saw an increase in the incidence of gallstone disease (GSD) in Britain. This was partly due to the increasing age of the population. It is estimated that up to 28% and 42% of men and women, respectively, aged 80-89 years have gallstones. Of these, 30% are symptomatic, and are seen by surgeons around Conclusions: This study suggests that recurrent GSD in elderly patients managed non-operatively may have fatal outcome. Elective cholecystectomy has acceptable morbidity and mortality in this age group and there is often ample opportunity to avoid emergency surgery, but a prospective randomised study is required to improve clinical algorithms.

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Section: Choledocholithiasismentioning

confidence: 68%

“…The 47 patients who had ERCP had a physiological score of 19 (range, [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. The procedure was successful in 40 (85.1%) patients.…”

Section: Group 2: Ercp + Sphincterotomy (± Stone Extraction ± Stentingmentioning

confidence: 99%

Management of gallstone disease in the elderly

Arthur¹,

Edwards²,

Chagla³

2003

Annals of the Royal College of Surgeons of England

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“…The optimal management of patients with major bile duct injuries and strictures in the current era remains surgical reconstruction [3]. Complication rates vary from 7 to 10 % with mortality of 0.5-2 % [13]. Hemorrhage, cholangitis, pancreatitis, and perforation are some of the complications where mortality is highest.…”

Section: Discussionmentioning

confidence: 99%

“…Hemorrhage, cholangitis, pancreatitis, and perforation are some of the complications where mortality is highest. Emergency surgical intervention is required in one third of the patients [13].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Biliary Enteric Anastomosis in Benign Biliary Disorders

Singh

Arora

2012

Indian J Surg

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Evaluation of various methods of biliary enteric anastomosis in benign biliary diseases (BBD).A surgeon operating for BBD needs to improve the internal drainage of bile to prevent stasis and its backpressure effects. This is best obtained by biliary enteric anastomosis. A total of 121 cases of biliary enteric anastomosis in BBD were included in this study. The postoperative course and long-term outcome were studied prospectively. In the choledochoduodenostomy group, there were no leaks, no restrictures, and no mortality. Five (10.41 %) patients had cholangitis attacks and 2 (4.17 %) patients had sump syndrome. The choledochojejunostomy group had no leaks, no restrictures. Two (7.14 %) patients had repeated cholangitis and 2 (7.14 %) patients had sump syndrome, no mortality. The hepaticojejunostomy group had 3 cases of anastomotic leak of which 2 healed spontaneously and 1 needed resurgery. There was restricture in 2 cases, in which resurgery was successful-one death, no cholangiocarcinoma. Biliary enteric anastomosis is a safe and effective method for the management of BBD. The method should be selected according to the disease pathology and patient characteristics.

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“…It is an acceptable alternative to operative exploration of CBD for stones during cholecystectomy. 4 Occasionally, the procedure may fail due to anatomical abnormalities such as the presence of a periampullary diverticula, bile duct stricture or previous surgery (Billroth II gastrectomy). The aim of the present study was to analyze the effectiveness of ERCP and ES in clearing CBD stones and the role of plastic biliary stent deployment in difficult CBD stones.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Management and Role of Interim Plastic Biliary Stenting in Large and Multiple Pigmented Common Bile Duct Stone

Krishnan¹,

Ramakrishnan²

2013

Euroasian Journal of Hepato-Gastroenterology

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Background/Aim: Different endoscopic modalities are available for the extraction of common bile duct (CBD) stones. However, there is no clear consensus on the better therapeutic approach. Aim of the study was to analyze the effectiveness of endoscopic retrograde cholangiopancreatogram (ERCP) and endoscopic sphincterotomy (ES) and the role of 'interim' plastic biliary stent deployment in difficult pigmented CBD stones.

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Endoscopic Management of Choledocholithiasis

Cited by 64 publications

References 27 publications

Management of gallstone disease in the elderly

Management of gallstone disease in the elderly

Evaluation of Biliary Enteric Anastomosis in Benign Biliary Disorders

Endoscopic Management and Role of Interim Plastic Biliary Stenting in Large and Multiple Pigmented Common Bile Duct Stone

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