Endoscopic removal of retained stones after biliary surgery.
Br J Surg
; 75(9): 896-8, 1988 Sep.
Article
en En
| MEDLINE
| ID: mdl-3179668
ABSTRACT
Seventy-three patients with retained stones in the common duct after biliary surgery underwent attempted endoscopic removal at a mean interval of 39 days after surgery. Endoscopic extraction was successful in 63 patients (86 per cent). Complications occurred in 14 patients (19 per cent). The most frequent complication was haemorrhage which occurred in nine patients, four of whom required surgery; two other patients required surgery for complications. The complication rate of endoscopic sphincterotomy in recently operated patients may be higher than in the non-operated patient. Less invasive methods, such as dissolution therapy or T tube track extraction, may be preferable as they are associated with less risk. Endoscopic sphincterotomy should be reserved for patients in whom these alternative techniques fail or are inappropriate.
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Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Cálculos Biliares
/
Conducto Colédoco
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Br J Surg
Año:
1988
Tipo del documento:
Article
País de afiliación:
Reino Unido