| Title: |
Outcome of the Endoscopic Biliary Stenting for Irretrievable Common Bile Duct Stones in an Academic Hospital – A Prospective Study |
| Authors: |
Hossain, Mohammad Iqbal; Salimullah, A.S.M.; Hasan, Rashedul; Podder, Subrata; Alam, Jane; Datta, Raj; Kibria, Md. Golam |
| Source: |
European Journal of Medical and Health Sciences ; volume 5, issue 5, page 7-12 ; ISSN 2593-8339 |
| Publisher Information: |
European Open Science Publishing |
| Publication Year: |
2023 |
| Description: |
Background: Choledocholithiasis is characterized by the existence of a stone in the common bile duct. Based on findings published in the Medical Clinics of North America, around 10-15% of individuals with gallstones experience the development of choledocholithiasis. Presently, the established approach for addressing common bile duct stones involves the implementation of endoscopic papillotomy and stone extraction. The combined utilization of Dormia basket, balloon catheter, and lithotripsy achieves a success rate of approximately 90%. In cases where traditional endoscopic removal methods prove ineffective, biliary stenting plays a crucial role in the conservative management of CBD stones. Objectives: The main goal of the study was to evaluate the outcome of biliary stenting in irretrievable common bile duct stones. Materials and Methods: This observational study took place at the Department of Gastroenterology, Dhaka Medical College and Hospital, Dhaka, from January 2018 to December 2018. The study included consecutive patients who were 18 years or older and diagnosed with common bile duct stones. These patients underwent endoscopic retrograde cholangiopancreatography (ERCP) for stone extraction. The study specifically focused on patients who received biliary stenting for irretrievable common bile duct stones, and they were enrolled as participants in the study. Results: Out of the 83 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) for stone extraction, 29 patients (35%) were deemed as having irretrievable stones, necessitating the implementation of stenting. Among these irretrievable stone cases, the average age was 46.69, and there was a predominance of females with 17 patients (58.6%). Of the 29 cases, 22 patients completed the follow-up. During the follow-up ERCP, a significant reduction was observed in both the average number of stones (3.14 vs. 1.9; P=0.002) and their size (16.32 vs. 12.4; P=0.005). Successful stone extraction was achieved in 14 patients (63.64%) during the ... |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| DOI: |
10.24018/ejmed.2023.5.5.1851 |
| Availability: |
https://doi.org/10.24018/ejmed.2023.5.5.1851; https://www.ej-med.org/index.php/ejmed/article/download/1851/1112 |
| Rights: |
http://creativecommons.org/licenses/by/4.0 |
| Accession Number: |
edsbas.AF875E47 |
| Database: |
BASE |