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Ercp gallstone extraction

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https://www.readbyqxmd.com/read/27606949/influence-of-periampullary-diverticulum-on-the-occurrence-of-pancreaticobiliary-diseases-and-outcomes-of-endoscopic-retrograde-cholangiopancreatography
#1
Lu Chen, Lu Xia, Yi Lu, Like Bie, Biao Gong
BACKGROUND AND AIM: Periampullary diverticulum (PAD) is frequently encountered in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). The aim of this study was to investigate the association of PAD with pancreaticobiliary diseases as well as the impact of PAD on the technical success of ERCP and different methods of bile duct stone extraction. PATIENTS AND METHODS: A total of 1489 cases of patients with PAD were identified from 6390 patients who underwent ERCP...
January 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/26771377/diagnosis-and-management-of-bile-stone-disease-and-its-complications
#2
REVIEW
Anneline Cremer, Marianna Arvanitakis
Bile stone disease is one of the most prevalent gastroenterological diseases with a considerable geographical and ethnic variation. Bile stones can be classified according their origin, their localization and their biochemical structure. Development and clinical expression depend on a complex interaction between congenital and acquired risk factors. Indeed, bile stones can be either asymptomatic, or cause biliary colic or complications such as acute cholecystitis, jaundice, cholangitis and acute pancreatitis...
March 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/25936687/a-meta-analysis-of-single-stage-versus-two-stage-management-for-concomitant-gallstones-and-common-bile-duct-stones
#3
Hong-Yi Zhu, Ming Xu, Huo-Jian Shen, Chao Yang, Fu Li, Ke-Wei Li, Wei-Jin Shi, Fu Ji
OBJECTIVE: To conduct a randomized controlled trial (RCT) meta-analysis to evaluate the safety and effectiveness of single-stage [laparoscopic cholecystectomy (LC)+laparoscopic common bile duct exploration (LCBDE)] vs. two-stage management [preoperative endoscopic retrograde cholangiopancreatography (ERCP)+LC] for concomitant gallstones and common bile duct stones. METHODS: RCTs that met the inclusion criteria for data extraction were identified from electronic databases (PubMed, Embase, Science Citation Index, and the Cochrane Library) up to August 2014...
October 2015: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/25874138/acute-cholangitis-following-intraductal-migration-of-surgical-clips-10-years-after-laparoscopic-cholecystectomy
#4
Natalie E Cookson, Reza Mirnezami, Paul Ziprin
Background. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. Surgery-associated complications include bleeding, bile duct injury, and retained stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation "clip cholelithiasis". Case Report. We report a case of a 55-year-old female patient who presented with right upper quadrant pain and severe sepsis having undergone an uncomplicated laparoscopic cholecystectomy 10 years earlier...
2015: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/25799261/meta-analysis-of-early-endoscopic-retrograde-cholangiopancreatography-ercp-%C3%A2-endoscopic-sphincterotomy-es-versus-conservative-management-for-gallstone-pancreatitis-gsp
#5
COMPARATIVE STUDY
Matthew J Burstow, Rossita M Yunus, Md Belal Hossain, Shahjahan Khan, Breda Memon, Muhammed A Memon
CONTEXT: The utility of early endoscopic retrograde cholangiopancreatography (ERCP) ± endoscopic sphincterotomy (ES) in the treatment of gallstone pancreatitis (GSP) is still contentious. OBJECTIVES: The aim was to conduct a meta-analysis of randomized controlled trials (RCTs) investigating the treatment of GSP by early ERCP ± ES versus conservative management and analyzing the patient outcomes. DATA SOURCES: A search of Medline, Embase, Science Citation Index, Current Contents, PubMed, and the Cochrane Database of Systematic Reviews identified all RCTs comparing early ERCP to conservative management in GSP published between January 1970 and January 2014...
June 2015: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/25719222/endoscopic-retrograde-cholangiopancreatography-versus-intraoperative-cholangiography-for-diagnosis-of-common-bile-duct-stones
#6
REVIEW
Kurinchi Selvan Gurusamy, Vanja Giljaca, Yemisi Takwoingi, David Higgie, Goran Poropat, Davor Štimac, Brian R Davidson
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) and intraoperative cholangiography (IOC) are tests used in the diagnosis of common bile duct stones in people suspected of having common bile duct stones. There has been no systematic review of the diagnostic accuracy of ERCP and IOC. OBJECTIVES: To determine and compare the accuracy of ERCP and IOC for the diagnosis of common bile duct stones. SEARCH METHODS: We searched MEDLINE, EMBASE, Science Citation Index Expanded, BIOSIS, and Clinicaltrials...
February 26, 2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25469022/imaging-tests-for-accurate-diagnosis-of-acute-biliary-pancreatitis
#7
REVIEW
Valeriu Şurlin, Adrian Săftoiu, Daniela Dumitrescu
Gallstones represent the most frequent aetiology of acute pancreatitis in many statistics all over the world, estimated between 40%-60%. Accurate diagnosis of acute biliary pancreatitis (ABP) is of outmost importance because clearance of lithiasis [gallbladder and common bile duct (CBD)] rules out recurrences. Confirmation of biliary lithiasis is done by imaging. The sensitivity of the ultrasonography (US) in the detection of gallstones is over 95% in uncomplicated cases, but in ABP, sensitivity for gallstone detection is lower, being less than 80% due to the ileus and bowel distension...
November 28, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25328725/gallstone-ileus-following-endoscopic-stone-extraction
#8
Yoshiya Yamauchi, Noritaka Wakui, Yasutsugu Asai, Nobuhiro Dan, Yuki Takeda, Nobuo Ueki, Takahumi Otsuka, Nobuyuki Oba, Shuta Nisinakagawa, Tatsuya Kojima
An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis...
2014: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/25135737/safety-and-efficacy-of-endoscopic-retrograde-cholangiopancreatography-for-common-bile-duct-stones-in-liver-cirrhotic-patients
#9
RANDOMIZED CONTROLLED TRIAL
De-min Li, Jie Zhao, Qiu Zhao, Hua Qin, Bo Wang, Rong-xiang Li, Min Zhang, Ji-fen Hu, Min Yang
In order to investigate the safety and efficacy of endoscopic retrograde cholangiopancreatograpy (ERCP) in liver cirrhosis patients with common bile duct stones, we retrospectively analyzed data of 46 common bile duct stones patients with liver cirrhosis who underwent ERCP between 2000 and 2008. There were 12 cases of Child-Pugh A, 26 cases of Child-Pugh B, and 8 cases of Child-Pugh C. 100 common bile duct stones patients without liver cirrhosis were randomly selected. All the patients were subjected to ERCP for biliary stones extraction...
August 2014: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/24879343/laparoscopic-common-bile-duct-exploration-and-primary-closure-of-choledochotomy-after-failed-endoscopic-sphincterotomy
#10
Yong Zhou, Xu-Dong Wu, Ren-Gen Fan, Guang-Jun Zhou, Xiang-Ming Mu, Wen-Zhang Zha, Jing Jia
BACKGROUND: The aim of this study is to evaluate the safety and feasibility of laparoscopic common bile duct exploration and primary closure of choledochotomy for the patients with common bile duct stones (CBDS) who failed in endoscopic sphincterotomy (EST). METHODS: Between January 2007 and June 2012, a total of 78 patients who subjected to endoscopic retrograde cholangiopancreatography (ERCP) and EST, but failed in endoscopic stone extraction, were referred to us...
2014: International Journal of Surgery
https://www.readbyqxmd.com/read/24756316/endoscopic-balloon-dilation-lithotripsy-for-difficult-bile-duct-stones
#11
Jin-Seok Park, Seok Jeong, Jee Young Han, Don Haeng Lee
BACKGROUND/AIM: Endoscopic treatment for removal of large or impacted bile duct stones is challenging, and may not be successful. The aim of this study was to evaluate the safety and efficacy of endoscopic balloon dilation lithotripsy (EBDL) as a means of treating difficult extrahepatic bile duct stones refractory to failed conventional endoscopic treatments. PATIENTS AND METHODS: The patients were included in the indication of EBDL only if stones were confirmed as brown-pigmented stones or recurrent...
August 2014: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/24714023/proximal-migration-of-a-5-french-pancreatic-stent-during-bile-stone-extraction-a-successful-retrieval-using-mini-snare
#12
Yu-Sheng Liao, Qiu Zhao, Yan Fan, Jie Wu
Pancreatic stents are used for a variety of conditions during therapeutic endoscopic retrograde cholangio pancreatography (ERCP). Pancreatic duct stenting reduces the incidence of post-ERCP pancreatitis and facilitate bilitary cannulation in difficult cases. Proximal migration of a pancreatic stent during bile duct stone extraction is an infrequent event, but its management can be technically challenging. We present a case that a double flanged pancreatic stent (5 French (Fr), 5 cm) was placed to facilitate the bilitary cannulation during the bile duct stone extraction...
May 2014: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/24712280/laparoscopic-exploration-of-bile-ducts-in-patients-with-calculosis-indications-methods-and-first-results
#13
Rosen S Dimov, Rangel I Kantchev, Boris G Boev, Todor I Ivanov, Ilia A Apostolov, Anton G Hinov, Maria V Stoilova, Nedelcho M Cheshmedzhiev, Kamen D Mitev, Youri Spassov, Rositsa Cv Dimova
INTRODUCTION: In the last few years there has been a resurgence of laparoscopic exploration of the common bile duct as an alternative to endoscopic retrograde cholangiopancreatography (ERCP), the primary method for diagnosis and treatment of biliary tract calculosis. AIM: The aim of this study was to clarify the indications and methods for performing laparoscopic bile duct exploration, based on our experience in the field and data from the literature. PATIENTS AND METHODS: We recruited 12 patients who underwent laparoscopic exploration and stone extraction from the common bile duct (CBD) in the surgical ward of Kaspela Hospital, Plovdiv over the period January 2011 to January 2012...
July 2013: Folia Medica
https://www.readbyqxmd.com/read/24705779/transcystic-or-transductal-stone-extraction-during-single-stage-treatment-of-choledochocystolithiasis-a-systematic-review
#14
REVIEW
Jan Siert K Reinders, Dirk J Gouma, Dirk T Ubbink, Bert van Ramshorst, Djamila Boerma
BACKGROUND: Choledochocystolithiasis can be managed by endoscopic retrograde cholangiopancreaticography (ERCP) or laparoscopically by transcystic (TC) or transductal (TD) stone extraction. OBJECTIVE: The aim of this study was to systematically review safety and effectiveness of combined endoscopic/laparoscopic management versus total laparoscopic management for choledochocystolithiasis with specific emphasis on TC versus TD stone extraction. METHODS: MEDLINE/PubMed, EMBASE, the Cochrane Library, and clinicaltrials...
September 2014: World Journal of Surgery
https://www.readbyqxmd.com/read/24369328/double-duct-sign-do-not-forget-the-gallstones
#15
REVIEW
Leendert H Oterdoom, Stijn J B van Weyenberg, Nanne K H de Boer
A double-duct sign is the combined dilatation of the common bile duct and pancreatic duct, often caused by cancer of the pancreas. We present a patient with colicky pain in the right upper quadrant of her abdomen. On radiological imaging and endosonography, she had a double-duct sign due to choledocholithiasis and no mass in the pancreatic head. A literature search was performed, which indicated that in selected patients with a higher likelihood of pancreas cancer (for example jaundice or pancreatic mass on radiological imaging) up to 85% of patients do indeed have a pancreatic cancer...
December 2013: Journal of Gastrointestinal and Liver Diseases: JGLD
https://www.readbyqxmd.com/read/24338858/surgical-versus-endoscopic-treatment-of-bile-duct-stones
#16
REVIEW
Bobby V M Dasari, Chuan Jin Tan, Kurinchi Selvan Gurusamy, David J Martin, Gareth Kirk, Lloyd McKie, Tom Diamond, Mark A Taylor
BACKGROUND: Between 10% to 18% of people undergoing cholecystectomy for gallstones have common bile duct stones. Treatment of the bile duct stones can be conducted as open cholecystectomy plus open common bile duct exploration or laparoscopic cholecystectomy plus laparoscopic common bile duct exploration (LC + LCBDE) versus pre- or post-cholecystectomy endoscopic retrograde cholangiopancreatography (ERCP) in two stages, usually combined with either sphincterotomy (commonest) or sphincteroplasty (papillary dilatation) for common bile duct clearance...
December 12, 2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/24209694/endoscopic-management-of-bile-leaks-after-laparoscopic-cholecystectomy
#17
Galya Eileen Chinnery, Jake E J Krige, Phillipus C Bornman, Marc M Bernon, Salem Al-Harethi, Stefan Hofmeyr, Mohamed Asif Banderker, Sean Burmeister, Sandie Rutherford Thomson
BACKGROUND: A bile leak is an infrequent but potentially serious complication after biliary tract surgery. Endoscopic intervention is widely accepted as the treatment of choice. This study assessed the effectiveness of endoscopic retrograde cholangiopancreatography (ERCP), sphincterotomy and biliary stenting in the management of postoperative bile leaks. METHODS: An ERCP database in a tertiary referral centre was reviewed retrospectively to identify all patients with bile leaks after laparoscopic cholecystectomy...
November 2013: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/24162138/single-stage-laparoscopic-common-bile-duct-exploration-and-cholecystectomy-versus-two-stage-endoscopic-stone-extraction-followed-by-laparoscopic-cholecystectomy-for-patients-with-concomitant-gallbladder-stones-and-common-bile-duct-stones-a-randomized-controlled
#18
RANDOMIZED CONTROLLED TRIAL
Virinder Kumar Bansal, Mahesh C Misra, Karthik Rajan, Ragini Kilambi, Subodh Kumar, Asuri Krishna, Atin Kumar, Chandrakant S Pandav, Rajeshwari Subramaniam, M K Arora, Pramod Kumar Garg
BACKGROUND: The ideal method for managing concomitant gallbladder stones and common bile duct (CBD) stones is debatable. The currently preferred method is two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy (LC). This prospective randomized trial compared the success and cost effectiveness of single- and two-stage management of patients with concomitant gallbladder and CBD stones. METHODS: Consecutive patients with concomitant gallbladder and CBD stones were randomized to either single-stage laparoscopic CBD exploration and cholecystectomy (group 1) or endoscopic retrograde cholangiopancreatography (ERCP) for endoscopic extraction of CBD stones followed by LC (group 2)...
March 2014: Surgical Endoscopy
https://www.readbyqxmd.com/read/23999986/surgical-versus-endoscopic-treatment-of-bile-duct-stones
#19
REVIEW
Bobby V M Dasari, Chuan Jin Tan, Kurinchi Selvan Gurusamy, David J Martin, Gareth Kirk, Lloyd McKie, Tom Diamond, Mark A Taylor
BACKGROUND: Between 10% to 18% of people undergoing cholecystectomy for gallstones have common bile duct stones. Treatment of the bile duct stones can be conducted as open cholecystectomy plus open common bile duct exploration or laparoscopic cholecystectomy plus laparoscopic common bile duct exploration (LC + LCBDE) versus pre- or post-cholecystectomy endoscopic retrograde cholangiopancreatography (ERCP) in two stages, usually combined with either sphincterotomy (commonest) or sphincteroplasty (papillary dilatation) for common bile duct clearance...
September 3, 2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23799212/ercp-on-a-cohort-of-2-986-patients-with-cholelitiasis-a-10-year-experience-of-a-single-center
#20
Marcel Tantau, Voicu Mercea, Dana Crisan, Alina Tantau, Gabriela Mester, Stefan Vesa, Zeno Sparchez
BACKGROUND & AIMS: Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is the standard method of treatment for choledocholithiasis. We evaluated the diagnostic success rate and the outcomes of therapeutic ERCP for bile duct stones, in relation to the anatomical variants. METHOD: A total of 3,097 consecutive ERCPs were performed in 2,986 patients during a 10-year period (2002-2011) in our endoscopy department. The analysis of the results of therapy was performed in relation to the anatomical variants, patients' age, opacification of the Wirsung duct and recurrent lithiasis...
June 2013: Journal of Gastrointestinal and Liver Diseases: JGLD
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