Non-operative treatment of retained bile duct calculi in patients with an indwelling T tube

Christiansen, Leif; Nielsen, OH; Efsen, F; Hasner, E

doi:10.1002/bjs.1800650816

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…This study indicates female preponderance as observed in the present study. Brown JE and Christensen C , 1967 [7] , in their study on 104 patients who underwent a primary operation for biliary tract disease included 19 male patients and 85 female; females accounting for majority (85%), similar to current study.The clinical features in our study like pain in right hypochondrium (80%), fatty dyspepsia (72.5%), vomiting (30%), fever with chills (15%) and jaundice (10%) are in accordance with studies by Chetlin SH and Elliot DW ,1971 [8]andWells GR, Taylor EW, Lindsay G, et al 1989 [9] .In the present study, USG proven choledocholithiasis was the commonest indication for CBD exploration (80%), with cholelithiasis with previous history of jaundice (10%) as second most common symptom. Previous CBD stenting with retained stones (5%) and intraoperative palpable stones in CBD (5%) were other indications.…”

Section: Discussionsupporting

confidence: 63%

A Prospective Study of Complications of T-Tube Drainage of Common Bile Duct in The Management of Choledocholithiasis in The Tertiary Care Hospital of North India

Sharma¹,

Sanchit²,

Ratnakar³

et al. 2016

IOSR

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years.(iii)Abdominal pain was the most common presenting symptom followed by fatty dyspepsia.(iv)Bactibilia was observed on bile culture in 25 patients (62.5%) with aerobes isolated in 23 (92%) out of 25 culture positive patients and anaerobes isolated in 5 patients (20%). Among the patients with positive bile culture, 2 patients were those who had previous ERCP.(v)E. coli was the most common organism isolated in 12 (48%) patients,followed by Enterococcus in 5 (20%) patients. Anaerobes mixed with aerobes were culture in 3 patients (12%).(vi)T-tube bile culture taken on 5 th postoperative day showed increased incidence of bactibilia.(vii)Complication rate of T-tube drainage of CBD in our study was 25%.(viii)Most common complication was pain abdomen (10%), followed by wound infection and vomiting, 5% each.(ix)Complications of T-tube

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Section: Discussionsupporting

confidence: 63%

A Prospective Study of Complications of T-Tube Drainage of Common Bile Duct in The Management of Choledocholithiasis in The Tertiary Care Hospital of North India

Sharma¹,

Sanchit²,

Ratnakar³

et al. 2016

IOSR

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“…Chande and Devitt (1973) suggested primary closure of the choledochotomy as they had shown a higher morbidity in patients with T tubes. With increasing success in dissolving stories with solutions infused down T tubes (Gardner et al, 1975;Chary, 1977) or by removal with a modified Dormia basket (Christiansen et al, 1978), we feel that T tube drainage should still be used after supraduodenal explorations. Endoscopists are also obtaining good results in the treatment of stones in the common bile duct by endoscopic sphincterotomy and basket extraction.…”

Section: Discussionmentioning

confidence: 99%

Exploration of the common bile duct: A comparative study

Vellacott

Powell

1979

Journal of British Surgery

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The results of a retrospective comparative study of 122 patients who underwent explorations of the common bile duct in a district general hospital over a 5-year period are presented. Seventy-eight patients had a supraduodenal choledochotomy, 32 had a transduodenal spincterotomy and 12 had a combination of both procedures. Particular attention was paid to postoperative complications in relation to the grade of the surgeon performing the operation and also to the age of the patient. A total of 78 (64 per cent) patients had definite stones in the common bile duct. Of these patients, 7 (9 per cent) were subsequently shown to have retained stones, all having been operated on by registrars. Registrars also did more negative explorations than consultants. Nine patients (7.4 per cent) died, all but 1 of them being over the age of 70 and 4 of them having had a combined procedure. We conclude that transduodenal exploration should be avoided in patients over 70, particularly when added to a supraduodenal exploration.

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What is involved in endoscopic sphincterotomy for gallstones?

Baker

Lavelle

et al. 1980

Journal of British Surgery

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This study reports our first year's experience of endoscopic sphincterotomy for common bile duct stones. Forty patients were considered for the procedure and it was attempted in 37. An effective endoscopic sphincterotomy was eventually achieved in 32 (86 cases per cent), 7 after a "pre-cut". Twenty-three patients passed stones spontaneously (72 per cent), 6 could not be reassessed and 3 still had stones present (9 per cent). Bed occupancy was 9.5 +/- 5.9 days. Complications occurred in 30 per cent, the most common being pancreatitis in 6 cases with 1 death. It is concluded that endoscopic sphincterotomy offers a valuable alternative to surgery in the management of common bile duct stones.

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Non-operative treatment of retained bile duct calculi in patients with an indwelling T tube

Cited by 6 publications

References 14 publications

A Prospective Study of Complications of T-Tube Drainage of Common Bile Duct in The Management of Choledocholithiasis in The Tertiary Care Hospital of North India

A Prospective Study of Complications of T-Tube Drainage of Common Bile Duct in The Management of Choledocholithiasis in The Tertiary Care Hospital of North India

Exploration of the common bile duct: A comparative study

What is involved in endoscopic sphincterotomy for gallstones?

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