Lithiase de la voie biliaire principale : aspects épidémiologiques, diagnostiques et thérapeutiques

Thiam, Ousmane; Touré, Alpha Oumar; Seck, Mamadou; Guèye, Mohamadou Lamine; Cissé, Mamadou; Bricha, M.; Kâ, Ousmane; Dieng, Madieng; Dia, A.; Touré, Cheikh Tidiane

doi:10.1007/s12157-016-0680-6

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…This triad known as the Charcot triad is one of the key elements in the clinical diagnosis of choledochal lithiasis. It was observed in 33% of cases in the series reported by Tham [13] against 100% in our series, this difference is explained by the fact that in our series the patients consulted late or all the clinical signs were already present. Ultrasound hepatobiliary was the morphological examination performed in all the patients of our series is 100% of cases.…”

Section: Discussioncontrasting

confidence: 67%

“…Ultrasound hepatobiliary was the morphological examination performed in all the patients of our series is 100% of cases. In the series of Tham [13] its percentage of realization was also 100% and made it possible to highlight in 60% of cases the lithiasis against 100% in our series. The performance of ultrasound in the diagnosis of CBD li-thiasis remains difficult to assess.…”

Section: Discussionsupporting

confidence: 49%

“…Some authors [13] [14] have consistently asked the abdominal computed tomography (CT) in 71% -76% of cases in our study CT was requested when the result of an ultrasound was not contributory. In most series, biological tests have shown a cholestasis syndrome that varies between 20% and 30% [13] [14]. In our study, cholestasis syndrome was observed in 8 patients (20%) and leukocytosis observed in 2 cases (20%).…”

Section: Discussionmentioning

confidence: 87%

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The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

Sacko¹,

Diallo²,

Camara³

et al. 2019

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Considered as rare in Africa lithiasis of the main bile duct (MBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultrasound, CT, MRI cholangiopancreatography). Its surgical management is improved by laparoscopy coupled with interventional endoscopy. However, laparotomy remains the only way in Mali. This was a 14-years retrospective and descriptive study (2010-2014). All patients with BPV lithiasis were included. We studied the field, antecedents, clinical, biological, radiological, therapeutic and outcome aspects. 40 cases of stones in the main bile duct were collected during the study period. The hospital frequency was 2.8 cases per year, the clinical signs dominated by the Charcot triad (pain, fever, jaundice) found in 40 cases (100%). The average age was 60 years, female represented 70% of cases. Ultrasonography was the most requested review in 40 cases (100%). The procedure performed was cholecystectomy associated with choledochotomy with calculation extraction in all patients (100% of cases). One case of biliary fistula and one case of wall abscess were observed. The mortality was 5% and the simple suited in 90% of the cases. The lithiasis of the main bile duct is an infrequent pathology in Mali and potentially serious. This diagnosis is assisted in our context by ultrasound and CT. Laparotomy remains the only route of entry in Mali.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 87%

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The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

Sacko¹,

Diallo²,

Camara³

et al. 2019

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“…If any treatment is realised, the risk of complication (migration, infection) is important with significant morbidity [ 8 ]. Approximately, between 20% and 40% of patients with gallstones will develop gallstone-related complications [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Profile of Patients with Gallstone Disease in a Sub-Saharan African General Surgery Department: A Retrospective Cohort Study Protocol

Ndong

Gaye

Tendeng

et al. 2021

International Journal of Surgery Protocols

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Introduction: Gallstone disease is a disorder characterised by the formation of stones in the biliary tract. It is the most common biliary condition accounting for more than 98% of all gallbladder and biliary tract disorders. In Africa, previous studies have shown a relative rarity of this condition with a prevalence less than 5%; since it is between 2 and 5 times higher in other continents. A good knowledge of the profile of patient with gallstone disease in a surgical setting could allow to reduce gallstone disease complications and to tailor better the treatment. To our knowledge, there was no previous study about gallstone disease in this region even if there is a high prevalence of metabolic factors of gallstone disease.Methods: This study objective is to describe the epidemiological, diagnostic and therapeutic profile of patients with gallstone disease at the Department of General Surgery of Saint-Louis Hospital (Senegal). It will be a single-centre retrospective cohort study in a period of 5 years (January 2015 -December 2020). The patients' record of the department of general surgery will be consulted and the patient contacted if there are missing data. Patients with gallstone disease diagnosed with imaging (ultrasonography and/or CT scan) regardless the presentation (asymptomatic, biliary colic, cholecystitis, common bile duct lithiasis, angio-cholitis, pancreatitis) will be included. Adults and paediatric patients will be enrolled. Patient records lacking sufficient data will be excluded. Studied parameters will be epidemiological, clinical, paraclinical and therapeutic aspects.Ethics and dissemination: Anonymity and confidentiality of information collected in patients will be respected. This research protocol will be submitted to the Ethics Committee of our institution for approval. The knowledge of the profile of patients with gallstone disease in a surgical setting could allow to reduce gallstone disease complications and to tailor better the treatment. Finally, it will help to reduce the burden of gallstone disease.

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Lithiase de la voie biliaire principale : aspects épidémiologiques, diagnostiques et thérapeutiques

Cited by 2 publications

References 16 publications

The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

Profile of Patients with Gallstone Disease in a Sub-Saharan African General Surgery Department: A Retrospective Cohort Study Protocol

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