Clinical characteristics and risk factors for stent-stone complex formation following biliary plastic stent placement in patients with common bile duct stones

2018 ◽  
Vol 25 (10) ◽  
pp. 448-454
Author(s):  
Junichi Kaneko ◽  
Kazuhito Kawata ◽  
Shinya Watanabe ◽  
Takeshi Chida ◽  
Masahiro Matsushita ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Complex Formation ◽  
Common Bile Duct ◽  
Stent Placement ◽  
Clinical Characteristics ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Plastic Stent

scholarly journals Risk factors for recurrence of common bile duct stones after endoscopic biliary sphincterotomy

2018 ◽  
Vol 46 (7) ◽  
pp. 2595-2605 ◽  
Author(s):  
Sujuan Li ◽  
Bingzhong Su ◽  
Ping Chen ◽  
Jianyu Hao
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Tract ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Endoscopic Biliary Sphincterotomy ◽  
Biliary Tract Surgery ◽  
Biliary Sphincterotomy ◽  
Risk Factors For Recurrence

Objective Late complications after endoscopic biliary sphincterotomy (EST) include stone recurrence, but no definite risk factors for recurrence have been established. This study was performed to identify the predictors of recurrence and evaluate the clinical outcomes of EST for common bile duct stones. Methods In total, 345 eligible patients who successfully underwent EST were evaluated and followed up. Statistical analysis was performed on patients with recurrence or who had undergone at least 6 months of reliable follow-up to detect the risk factors for recurrence. Results A total of 57 patients (16.52%) developed recurrence of common bile duct stones. The median length of time until recurrence was 10.25 months (range, 6–54.4 months). Univariate analyses showed that the following factors were associated with recurrence: cholecystectomy prior to EST, prior biliary tract surgery, periampullary diverticulum, diameter of the common bile duct (>15 vs. ≤15 mm), quantity of stones, complete stone removal at the first session, and lithotripsy. Multivariate analysis identified two independent risk factors for recurrence: previous biliary tract surgery and lithotripsy. Conclusions EST for common bile duct stones is safe as indicated by patients’ long-term outcomes. Patients with a history of biliary surgery or lithotripsy are more prone to recurrence.

4639 The risk factors for the recurrence of primary common bile duct stones after endoscopic biliary sphincterotomy.

2000 ◽  
Vol 51 (4) ◽  
pp. AB190
Author(s):  
Dong Il Kim ◽  
Myung Hwan Kim ◽  
Sung Koo Lee ◽  
Dong Wan Seo;Won Boem Choi ◽  
Sang Soo Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Endoscopic Biliary Sphincterotomy ◽  
Biliary Sphincterotomy

Sa1432 - Small and Numerous Gallbladder Stones are Risk Factors for Complicated Common Bile Duct Stones

2018 ◽  
Vol 154 (6) ◽  
pp. S-303-S-304
Author(s):  
Fabiana Sklerovsky Benjaminov ◽  
Yassin Sharif ◽  
Assaf Stein ◽  
Timna Naftali ◽  
Ido Lish ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Gallbladder Stones

scholarly journals Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Mohammed Amine Benatta ◽  
Ariane Desjeux ◽  
Marc Barthet ◽  
Jean Charles Grimaud ◽  
Mohamed Gasmi
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
English Literature ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Plastic Stent ◽  
Mechanical Lithotripsy ◽  
The Third ◽  
Rescue Technique ◽  
Metal Sheath

A 59-year-old woman was treated with ERCP, ES, and biliary plastic stent, for large and multiple common bile duct stones. During a second ERCP basket extraction was impacted with a round entrapped stone. The basket handle was cut off; a metal sheath of extraendoscopic lithotriptor was advanced over the basket. The mechanical lithotripsy was complicated with basket traction wires fracturing, without breakage of the stone. A rescue standard basket was pushed until it caught the basket/stone complex. Using this method disengagement of the whole fractured basket/stone complex was achieved without need of surgery. It is the third case reported in the English literature.

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