Prevalence and Risk Factors for Choledocholithiasis After Cholecystectomy

Spataro, Joseph; Tolaymat, Mazen; Kistler, C. Andrew; Jacobs, Michael E.; Fitch, Jeffrey; Ahmed, Monjur

doi:10.14309/00000434-201710001-00072

Cited by 7 publications

(5 citation statements)

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“…In a study which examined patients who underwent ERCP for choledocholithiasis, patients with cholecystectomy comprised 28% of the total patients. The same study reported that acute cholangitis was significantly more common in patients with cholecystectomy at the time of admission to the hospital (14). However, this study revealed no significant differences between the two groups in terms of the patients' clinical presentation.…”

Section: Discussioncontrasting

confidence: 52%

Is Cholecystectomy a cause of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography?

Cankurtaran¹,

Atalay²,

Polat³

et al. 2021

AGEB

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Background and study aim: In European Society of Gastrointestinal Endoscopy guidelines, biliary cannulation of naive papillae is defined as difficult in the presence of more than 5 papilla contacts, more than 5min cannulation time or more than one unintended pancreatic duct cannulation or opacification. It is not known whether cholecystectomy is a cause of difficult biliary cannulation. This study aimed to investigate whether cholecystectomy (CCY) is a cause of difficult biliary cannulation in patients who have undergone Endoscopic Retrograde Cholangiopancreatography (ERCP) for choledocholithiasis. Patients and methods: Adult patients with naive papillae and those who underwent ERCP for common bile duct stones and/or sludge were included in this retrospective study. Patient demographics, clinical presentation (acute cholangitis, biliary pancreatitis or biliary colic), periprocedural data including laboratory and radiological findings and ERCP results were compared between no-CCY and post-CCY groups. Results: 438 patients were included in the present study and 347 of these patients were in the no-CCY group and 91 patients were in post-CCY group. A statistically significant difference was found in the number of patients with difficult cannulation in the post-CCY group (n=30, 33.0%) patients compared to the no- CCY group (n=67, 19.3%) (p=0.011). According the multivariate analyses results, presence of history of cholecystectomy was found an independent risk factor of difficult cannulation (Odds ratio: 2.014; 95 % Cl 1.205-3.366; p=0.008). Conclusions: The results showed that biliary cannulation was significantly more difficult in patients with cholecystectomy who underwent ERCP for common bile duct stones.

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Section: Discussioncontrasting

confidence: 52%

Is Cholecystectomy a cause of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography?

Cankurtaran¹,

Atalay²,

Polat³

et al. 2021

AGEB

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“…Studies have shown that the vast majority of patients (80%) with choledocholithiasis following cholecystectomy will present within 3 years of surgery [3,9]. Presentation later than this is thought to be secondary to migrating surgical clips with cases being reported up to twenty years…”

Section: Discussionmentioning

confidence: 99%

“…Postcholecystectomy syndrome can be secondary to dysfunction of the sphincter of Oddi, traumatic stricture, retained CBD stones or retained stones within a gallbladder remnant [2]. e condition is especially common within the first three years postprocedure [3]. ere have been only a few case reports of postcholecystectomy bile duct stones occurring more than 10 years following surgery in the literature.…”

Section: Introductionmentioning

confidence: 99%

Primary Choledocholithiasis 15 Years Postcholecystectomy

Simon

Hassan

Ramasamy

et al. 2020

Case Reports in Medicine

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Gallstone disease is extremely prevalent in the western society with laparoscopic cholecystectomy (LC) being the standard treatment for patients with symptomatic gallstones. The prevalence of common bile duct (CBD) stones with concomitant gallstones increases with age from 8–15% in patients <60 years of age and up to 60% in the elderly. There have been only a few case reports of postcholecystectomy bile duct stones occurring more than 10 years following surgery in the literature. Most of these reports describe the presence of stones within the gallbladder/cystic duct remnant or secondary to migrating surgical clips.

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“…The commonest causes for delayed presentation of choledocholithiasis is retained or regeneration of stones within a gallbladder remnant or cystic duct [6] . Studies have shown that majority of retained stones present within 2-3 years of surgery [ 6 , 7 ]. Presentation later than that is thought to be secondary to migratory surgical clips as it acts as a nidus for stone formation.…”

Prevalence and Risk Factors for Choledocholithiasis After Cholecystectomy

Cited by 7 publications

References 0 publications

Is Cholecystectomy a cause of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography?

Is Cholecystectomy a cause of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography?

Primary Choledocholithiasis 15 Years Postcholecystectomy

Case report of choledocholithiasis 40 years post cholecystectomy

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