scholarly journals Strategies for endoscopic and surgical management of common bile duct stones

2003 ◽  
Vol 56 (1-2) ◽  
pp. 69-75
Author(s):  
Dragos Stojanovic ◽  
Mirjana Stojanovic ◽  
Predrag Milojevic ◽  
Zorica Caparevic ◽  
Djordje Lalosevic ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Cirrhosis ◽  
Common Bile Duct Stones ◽  
Common Disease ◽  
Biliary Surgery ◽  
Endoluminal Surgery ◽  
Common Bile Duct Calculi ◽  
Pass Through ◽  
Bile Duct Calculi

Introduction Common bile duct calculi represent a pathologic entity involving obstructive icterus, cholangitis, hepatic cirrhosis or pancreatitis. Common bile duct calculi mostly have a secondary origin (from gallbladder) in 95% of cases, while primary choledocholithiasis is rare. Classification From surgical aspect, common bile duct calculi can be: 1. Asymptomatic, without manifested symptoms or signs,2. Mobile, with intermittent biliar obstruction and disobstruction, 3. Fixed, with obstruction and signs of hepato-biliary and/or bilio-pancreatic duct, 4. Transitory, microcalculi which pass through Vater's Papilla by propulsion into duodenum with symptoms. Discussion Modern biliary surgery includes diagnosis of common bile duct calculi, and if possible preoperative endoscopic (endoluminal) surgery, which is less invasive for patients. If such approach is not possible, it is necessary to perform stone extraction and cholecystectomy. Conclusion Common bile duct calculi represent a common disease of the digestive system. Endoscopic diagnostic procedure is very important in management of choledocholithiasis Endoscopic treatment of common bile duct calculi prior to cholecystectomy is a method of choice and a strategy for associated cholecysto-choledocholithiasis.

scholarly journals A case report of spontaneous passage of large (>1.5 cm) common bile duct calculi (4 in number) through faeces

2021 ◽  
Vol 8 (7) ◽  
pp. 2186
Author(s):  
Maliha I. Ansari ◽  
Anand S. Pandey
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Biliary Colic ◽  
Bile Duct Stones ◽  
Endoscopic Retrograde ◽  
Spontaneous Passage ◽  
Pass Through ◽  
Bile Duct Calculi ◽  
Fatal Complications

Gallbladder (GB) stones are commonly associated with common bile duct stones (CBDS). While they may remain asymptomatic, some may present with symptoms like biliary colic, jaundice and cholecystitis. Most of these stones in the CBD, if small, pass through faeces. Passing larger stones through faeces is relatively rare and if it does occur, is usually associated with fatal complications like acute pancreatitis. The authors reported a case wherein symptomatic large CBD stones were spontaneously passed through faeces and the patient was relieved of the symptoms and did not suffer any further complications. Choledocholithiasis is usually managed by endoscopic retrograde cholangiopancreatography or by laparoscopic or open choledocholithotomy. Spontaneous passage of small CBD and GB calculi through faeces although common is associated often with the development of pancreatitis. Passage of large CBD calculi (size >1.5 cm) through faeces is rarely seen.

A Death Following Complications of Roentgenologic Nonoperative Manipulation of Common Bile Duct Calculi

Radiology ◽  
1977 ◽  
Vol 123 (3) ◽  
pp. 585-586 ◽  
Author(s):  
Edward P. Polack ◽  
Maurice H. Fainsinger ◽  
Salvatore V. Bonnano
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Calculi ◽  
Bile Duct Calculi

Diagnosis of common bile duct calculi with intraductal ultrasonography during endoscopic biliary cannulation

2002 ◽  
Vol 17 (6) ◽  
pp. 708-712 ◽  
Author(s):  
YOSHITSUGU KUBOTA ◽  
MAKOTO TAKAOKA ◽  
SHIN YAMAMOTO ◽  
NOBUYUKI SHIBATANI ◽  
MASAAKI SHIMATANI ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Intraductal Ultrasonography ◽  
Biliary Cannulation ◽  
Common Bile Duct Calculi ◽  
Bile Duct Calculi

Common bile duct calculi

1984 ◽  
Vol 75 (3) ◽  
pp. 109-117
Author(s):  
Frederick W. Heiss ◽  
Ricardo L. Rossi ◽  
Francis J. Scholz ◽  
John A. Shea ◽  
John W. Braasch
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Calculi ◽  
Bile Duct Calculi

The “Stent through Stent Technique” for Hilar Malignant Stenosis Complicated with Common Bile Duct Calculi

1994 ◽  
Vol 6 (3) ◽  
pp. 291-294
Author(s):  
Victor Bracho MOSQUERA ◽  
Teteifli AKIYAMA ◽  
Shomei RYO ◽  
Satoshi KONDO ◽  
Yoshiko YABUSHTTA ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Calculi ◽  
Bile Duct Calculi

scholarly journals Management of common bile duct calculi in a tertiary care hospital in North East India

2020 ◽  
Vol 7 (11) ◽  
pp. 3765
Author(s):  
Ranendra Hajong ◽  
Kewithinwangbo Newme
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Tertiary Care ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Common Bile Duct Calculi ◽  
North East ◽  
Number Of Patients ◽  
Bile Duct Calculi

Background: Common bile duct calculi are frequently encountered in patients with cholelithiasis. Treatment ranges from endoscopic retrograde cholangiopancreatography (ERCP) to various surgical treatment modalities done either by laparoscopic or open techniques.Methods: This was a retrospective cross-sectional study carried out in General Surgery department of NEIGRIHMS Hospital from April 2014 to March 2020. Patients attending the hospital with choledocholithiasis during the time period have been included in the study.Results: A total of 82 patients were included in the study. The prevalence of common bile duct (CBD) calculi in patients attending NEIGRIHMS Hospital with symptomatic gallstone diseases was 5.16%. Treatments ranged from primary CBD closure or T-tube drainage after CBD exploration either by laparoscopic techniques, choledocho-duodenostomy and ERCP. Bile peritonitis in 9 patients and retained stone were observed in some patients who were managed accordingly. No mortality was seen in any patient.Conclusions: The number of patients with CBD calculi and symptomatic gallstone disease attending NEIGRIHMS Hospital is less and standard of care is provided to the patients with acceptable morbidity and mortality.

scholarly journals Suture Material as a Nidus of Common Bile Duct Calculi

Endoscopy ◽  
1995 ◽  
Vol 27 (03) ◽  
pp. 279-279 ◽  
Author(s):  
M. Smoczynski ◽  
S. Mittlener
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Suture Material ◽  
Common Bile Duct Calculi ◽  
Bile Duct Calculi
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