scholarly journals Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones

2019 ◽  
Author(s):  
Ioannis Dimas
Keyword(s):  
Bile Duct ◽  
Biliary Stones ◽  
Bile Duct Disease

Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos)

2011 ◽  
Vol 74 (4) ◽  
pp. 805-814 ◽  
Author(s):  
Yang K. Chen ◽  
Mansour A. Parsi ◽  
Kenneth F. Binmoeller ◽  
Robert H. Hawes ◽  
Douglas K. Pleskow ◽  
...  
Keyword(s):  
Bile Duct ◽  
Biliary Stones ◽  
Single Operator ◽  
Bile Duct Disease

scholarly journals Percutaneous Transhepatic Laser Lithotripsy for Biliary Stones in Patients with Altered Biliary Anatomy

2021 ◽  
Author(s):  
Jacob Indu ◽  
Vikrama Amitha Kheda ◽  
Deepak Bolbandi ◽  
Sanjay Govil ◽  
Ravisankar Bhat
Keyword(s):  
Bile Duct ◽  
Current Treatment ◽  
Laser Lithotripsy ◽  
Safe Procedure ◽  
Bile Duct Stones ◽  
Biliary Stones ◽  
Endoscopic Retrograde ◽  
Difficult Cases ◽  
Transhepatic Biliary Drainage ◽  
Variant Anatomy

AbstractEndoscopic retrograde cholangiopancreatography (ERCP) is the current treatment of choice in bile duct stones. Several factors such as variant anatomy of ampulla and surgical procedures like hepaticojejunostomy limit the success of ERCP in treating bile duct stones. Percutaneous transhepatic laser lithotripsy using interventional radiologic and endourologic techniques, which is uncommon, is a reasonable treatment option in such difficult cases. It is a minimally invasive, safe procedure accompanied by a high success rate, minimal morbidity, and a short hospital stay. We report our technique and experience in a series of three patients who underwent percutaneous transhepatic biliary drainage (PTBD) followed by percutaneous transhepatic laser lithotripsy in an attempt to avoid open surgery when ERCP was technically difficult.

scholarly journals Adding ursodeoxycholic acid to the endoscopic treatment and common bile duct stenting for large and multiple biliary stones: Will it improve the outcomes?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ahmad Hormati ◽  
Mohammad Reza Ghadir ◽  
Seyed Saeed Sarkeshikian ◽  
Faezeh Alemi ◽  
Majid Moghaddam ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Ursodeoxycholic Acid ◽  
The Elderly ◽  
Success Rates ◽  
Biliary Stones ◽  
Cbd Stones ◽  
Group A ◽  
Bile Duct Stenting ◽  
Group B

Abstract Background The role of common bile duct (CBD) stenting in the establishment of bile stream in the elderly patients and the ones who are not good candidates for surgery due to not responding to treatments was well documented in previous studies. The current study aimed at investigating the effect of adding Ursodeoxycholic acid (UDCA) to CBD stenting alone in order to reduce the size of large and multiple CBD stones. Methods Clinical outcomes including success rates in CBD stones clearance, incidence of pancreatitis, perforation, bleeding, as well as, decrease in size of stones and liver enzymes after a two-month period were assessed in the UDCA + CBD stenting group. Results A total of 64 patients referring to Shahid Beheshti Hospital in Qom, Iran with multiple or large CBD stones (above three or larger than 15 mm) received standard endoscopic therapies and UDCA + CBD stenting (group B) and controls only received standard endoscopic therapies with only CBD stenting (group A). The mean reduction in the size of stones in group B was significantly higher than that of group A (3.22 ± 1.31 vs 4.09 ± 1.87 mm) (p = 0.034). There was no difference in the incidence rate of complications including pancreatitis, cholangitis, bleeding, and perforation between the two groups (P > 0.05). Conclusion Adding UDCA to CBD stenting, due to decrease in the stone size and subsequently facilitation of the stones outlet, can be considered as the first-line treatment for patients with large and multiple CBD stones. Also, in the cases with large or multi stones may be effective in reducing size and subsequently stone retrieval. Trial registry The study protocol was approved by the Ethics Committee of Qom University of Medical Sciences (ethical code: IR.MUQ.REC.1397.075); the study was also registered in the Iranian Registry of Clinical Trials (No. IRCT20161205031252N8). This study adheres to CONSORT guidelines.

Treatment of extrahepatic bile duct disease in infancy and early childhood

2002 ◽  
Vol 10 (1) ◽  
pp. 33-37 ◽  
Author(s):  
G. Steinau ◽  
S. Krischer ◽  
G. Staatz ◽  
A. Marx ◽  
V. Schumpelick
Keyword(s):  
Early Childhood ◽  
Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Infancy And Early Childhood ◽  
Bile Duct Disease

Echinococcosis Mimicking Autoimmune or Malignant Bile Duct Disease

2013 ◽  
Vol 51 (09) ◽  
pp. 1089-1091 ◽  
Author(s):  
M. Goetz ◽  
M. Hainz ◽  
S. Schadmand-Fischer ◽  
J. Kittner ◽  
S. Heinrich
Keyword(s):  
Bile Duct ◽  
Bile Duct Disease

Laparoscopic common bile duct exploration associating with electrohydraulic lithotripsy via choledochoscopy in Vietnam – Thuy Dien - Uong Bi Hospital

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Case Series ◽  
Common Bile Duct Exploration ◽  
Biliary Stones ◽  
Average Hospital ◽  
Intrahepatic Stones ◽  
Electrohydraulic Lithotripsy ◽  
Case Series Study ◽  
Duration Of Surgery

Tóm tắt Đặt vấn đề: Sỏi đường mật chính thường gặp là ống mật chủ (OMC) là bệnh lý phổ biến ở Việt Nam. Phẫu thuật nội soi (PTSN) để lấy sỏi qua OMC ngày càng được áp dụng rộng rãi trong điều trị bệnh sỏi mật. Kết hợp tán sỏi qua nội soi đường mật trong lúc phẫu thuật nhằm làm sạch sỏi đặc biệt là sỏi trên gan đang được áp dụng ở nhiều cơ sở. Phương pháp nghiên cứu: Nghiên cứu kết quả ứng dụng PTNS và nội soi tán sỏi qua OMC để điều trị sỏi đường mật chính tại bệnh viện VN-TĐ Uông Bí. Phương pháp can thiệp lâm sàng, mô tả tiến cứu. Đối tượng nghiên cứu là những người bệnh có sỏi đường mật chính (sỏi đường mật trong gan và ngoài gan) được PTNS ổ bụng lấy sỏi đường mật qua OMC có kết hợp tán sỏi điện thủy lực được thực hiện tại bệnh viện VN-TĐ Uông Bí từ 9/2014-9/2017. Thông tin của người bệnh được thu thập trước và sau phẫu thuật, xử lý bằng phần mềm thống kê y học SPSS 16.1. Kết quả: Gồm 31 trường hợp (TH) được nghiên cứu, có 9 nam và 22 nữ, tuổi trung bình là 55,45 ± 15,05. Trong đó sỏi OMC đồng thời với sỏi trong gan là 31, sỏi túi mật kết hợp 9 TH. 21 TH lấy hết sỏi đường mật ngay trong phẫu thuật. 10 người bệnh còn sót sỏi trong gan phải lấy sỏi qua đường hầm Kehr sau 1 tháng. 1 người bệnh phải chuyển mổ mở, 2 người bệnh bị rò mật sau mổ. Thời gian phẫu thuật trung bình là 130.65 ± 46.91 phút, thời gian nằm viện trung bình là 8,58 ± 3,59 ngày. Không có tử vong do phẫu thuật. Kết luận: Đây là những kinh nghiệm PTNS mở OMC có kết hợp với nội soi tán sỏi để điều trị sỏi đường mật đầu tiên của chúng tôi. Chúng tôi nhận thấy phẫu thuật có tính khả thi an toàn cũng như hiệu quả tại bệnh viện VN-TĐ Uông Bí. Abstract Introduction: Common bile duct (CBD) stone is endemic in Vietnam. Laparoscopic common bile duct exploration (LCBDE) has gained wide popularity in the treatment of choledocholithiasis. At the same time, electrohydraulic lithotripsy (EHL) via choledochoscopy might help to clear intrahepatic stones. Material and Methods: The aim of this study is to access the results of laparoscopic common bile duct exploration associating with electrohydraulic lithotripsy via choledochoscopy to clear biliary stones Vietnam – Thuy Dien – Uong Bi Hospital. This is a prospective, interventional and descriptive case series study. Patients with both extra-and intra-hepatic stones who underwent laparoscopic common bile duct exploration (LCBDE) from September 2014 to September 2017 were enrolled in our study. The data was prospectively collected and analysed by using SPSS 16.1. Results: There were 9 men and 22 women with age ranging from 12 to 78 years old (average 55,45 ± 3,59). There were 9 patients with gallbladder stones. Complete bile duct clearance was done in 21 patients. 10 patients with residual intrahepatic stones required extracting stones through T tube tunnel by choledochoscopy and EHL. The average duration of surgery was 130.65 ± 46.91 minutes and the average hospital stay was 8,55 ± 3,59 days. There were one conversion to open surgery and two cases of bile leakage. We had non-fatal postoperative complications. Conclusion: This is preliminary experience of LCBDE in my hospital in the management of choledocholithiasis. It should be considered effective and feasible in the treatment of CBD stones in Vietnam – Thuy Dien – Uong Bi Hospital. Keyword: Laparoscopic common bile duct exploration, Electrohydraulic lithotripsy via choledochoscopy

Rejection of murine congenic bile ducts: A model for immune-mediated bile duct disease

1992 ◽  
Vol 102 (3) ◽  
pp. 924-930 ◽  
Author(s):  
Richard A. Schreiber ◽  
Ronald E. Kleinman ◽  
Edward M. Barksdale ◽  
Thomas F. Maganaro ◽  
Patricia K. Donahoe
Keyword(s):  
Bile Duct ◽  
Bile Ducts ◽  
Immune Mediated ◽  
Bile Duct Disease
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