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Clinical Features and Outcomes of Endoscopic Treatment for Stones in Stemware-Shaped Common Bile Ducts: A Multicenter Data Analysis
Gut and Liver ; : 800-804, 2015.
Article de En | WPRIM | ID: wpr-55056
Bibliothèque responsable: WPRO
ABSTRACT
BACKGROUND/AIMS: Various anatomical features of the biliary tree affect ability to remove difficult common bile duct (CBD) stones. In this study, we evaluated the clinical characteristics and outcomes of the endoscopic treatment of stones in stemware-shaped CBDs. METHODS: Thirty-four patients with a stone and a stemware-shaped CBD who were treated at different tertiary referral centers from January 2008 to December 2012 were studied retrospectively. When stone removal failed, percutaneous or direct peroral cholangioscopic lithotripsy, endoscopic retrograde biliary drainage, or surgery was performed as a second-line procedure. RESULTS: The overall success rate of the first-line procedure was 41.2%. Five of the 34 patients (14.7%) experienced procedure-related complications. No procedure-related mortality occurred. Mechanical lithotripsy was required to completely remove stones in 13 patients (38.2%). Conversion to a second-line procedure was required in 20 patients (58.8%). Mechanical lithotripsy was needed in 75% and 66.7% of those with a stone size of or =1 cm, respectively. Stone recurrence occurred in two patients (9.1%) after 6 months and 27 months, respectively. CONCLUSIONS: The endoscopic treatment of stones in a stemware-shaped CBD is challenging. The careful assessment of difficult CBD stones is required before endoscopic procedures.
Sujet(s)
Mots clés
Texte intégral: 1 Indice: WPRIM Sujet Principal: Lithotritie / Endoscopie gastrointestinale / Cholangiopancréatographie rétrograde endoscopique / Résultat thérapeutique / Conduit cholédoque / Lithiase cholédocienne Limites du sujet: Adult / Aged / Aged80 / Female / Humans / Male langue: En Texte intégral: Gut and Liver Année: 2015 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Lithotritie / Endoscopie gastrointestinale / Cholangiopancréatographie rétrograde endoscopique / Résultat thérapeutique / Conduit cholédoque / Lithiase cholédocienne Limites du sujet: Adult / Aged / Aged80 / Female / Humans / Male langue: En Texte intégral: Gut and Liver Année: 2015 Type: Article