Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka.
Ceylon Med J
; 52(4): 122-4, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18286773
ABSTRACT
BACKGROUND:
In spite of the advent of pre- and per-operative imaging techniques, the problem of residual bile duct stones following laparoscopic or open cholecystectomy still exists with a reported frequency of 2-10%. Endoscopic stone extraction is a minimally invasive technique which is fast becoming popular in the management of residual ductal stones.OBJECTIVE:
To review the experience in our unit with regard to clinical presentation and the outcome following endoscopic management of residual bile duct stones.DESIGN:
Retrospective descriptive study.SETTING:
Patients referred to a tertiary referral centre with suspected residual bile duct stones following open or laparoscopic cholecystectomy from 5 March 2002 to 31 December 2006. PATIENTS ANDMETHOD:
56 patients with suspected residual bile duct stones were reviewed with regard to clinical presentation, stone profile, success rate and outcome.RESULTS:
Mean age of the sample was 43.2 years. Female to male ratio was 34/22. 4 (73.3%). Main presenting symptom was epigastric or right hypochondrial pain (39.2%). Presence of residual stones or gravel noted in 91% (51) during ERCP. Complete stone extraction was achieved in 83.9% (47). All these patients became completely asymptomatic. Four patients had ERCP related morbidity. There were no deaths. Longest follow up was 38 months and the shortest 1.5 months.CONCLUSIONS:
Endoscopic approach is a safe and effective method in the diagnosis and treatment of residual bile duct stones.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Doenças dos Ductos Biliares
/
Cálculos Biliares
/
Resultado do Tratamento
/
Colecistectomia Laparoscópica
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article