Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka.
Ceylon Med J
;
2007 Dec; 52(4): 122-4
Artigo
em Inglês
| IMSEAR
| ID: sea-47220
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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Sri Lanka
/
Doenças dos Ductos Biliares
/
Feminino
/
Humanos
/
Masculino
/
Cálculos Biliares
/
Estudos Retrospectivos
/
Colangiopancreatografia Retrógrada Endoscópica
/
Resultado do Tratamento
/
Colecistectomia Laparoscópica
Tipo de estudo:
Estudo observacional
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Ceylon Med J
Ano de publicação:
2007
Tipo de documento:
Artigo
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