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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
37 articles
Newest firstBackground and purpose Common bile duct stones (CBDS) are a common disease. Endoscopic retrograde cholangiopancreatography (ERCP) is currently recognized as the preferred treatment method for CBDS. However, there are cases that cannot be removed through ERCP. Therefore, the aim of this study is to explore the value of magnetic resonance cholangiopancreatography (MRCP) in assessing the success of CBDS removal throu…
Open article record in new tab ↗Background Cholecystocholedocholithiasis (CCL) presents significant management challenges. The optimal sequencing of laparoscopic cholecystectomy (LC) and endoscopic retrograde cholangiopancreatography (ERCP) when performed during the same operative session remains controversial. This study compared the efficacy, safety, and clinical outcomes of two same-session approaches: LC-first versus ERCP-first. Patients and…
Rationale Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic nasobiliary drainage is the standard treatment for common bile duct (CBD) stones. Post-ERCP abdominal pain is typically linked to complications like pancreatitis, perforation, or cholangitis. However, cases of nonspecific abdominal pain caused by duodenal ulcers induced by the nasobiliary drainage tube after ERCP have not been reported…
Open article record in new tab ↗CBD stones impose significant morbidity and cost. This review compares the efficacy and safety of endoscopic sphincterotomy (EST) and laparoscopic common bile duct exploration (LCBDE) and summarizes emerging techniques and remaining controversies. While EST remains a cornerstone for rapid stone extraction, particularly in high-risk surgical candidates, its association with post-procedural pancreatitis and long-ter…
Open article record in new tab ↗Introduction Elderly patients with common bile duct (CBD) stones often present with large or multiple stones, making endoscopic retrograde cholangiopancreatography (ERCP)-guided extraction a technically complex and potentially high-risk procedure. Aim This study aimed to compare the efficacy and safety of a staged approach-biliary stenting followed by delayed stone extraction-versus immediate stone removal during…
Objective Open Common Bile Duct Exploration (OCBDE) is a critical intervention for managing complex common bile duct (CBD) stones when endoscopic retrograde-cholangiopancreatography (ERCP) is unsuccessful. The choice of technique for choledochal exploration remains debated due to variable recurrence rates and complications associated with different methods. This study evaluates the clinical outcomes: bile leakage,…
Open article record in new tab ↗Background Recurrence of common bile duct (CBD) calculi within 30 days following T-tube cholangiography is exceedingly rare. Case summary This article details an instance of choledocholithiasis involving a 1.2 cm × 0.9 cm stone located in the lower and middle segments of the CBD, identified 30 days after T-tube cholangiography, accompanied by multiple microstones. Magnetic resonance cholangiopancreatography reveal…
Open article record in new tab ↗Background: Common bile duct (CBD) stones may pass spontaneously without any intervention. Assessment of the predictors of spontaneous passage can contribute to avoiding unnecessary endoscopic retrograde cholangiopancreatography (ERCP) implementation. This study aimed to investigate the factors related to spontaneous passage of CBD stones. Methods: From January 2021 to August 2023, patients with naïve papilla who…
Common bile duct (CBD) stones are a common biliary tract disease. For asymptomatic CBD stones, stone removal by endoscopic retrograde cholangiopancreatography (ERCP) is recommended in available guidelines. Because asymptomatic CBD stones is a benign disease with no noticeable symptoms, the risk vs benefit strategy should be thoroughly considered before performing ERCP in these patients. Clinical care review, techn…
Open article record in new tab ↗Gallstone-related diseases, particularly common bile duct (CBD) stones, pose a significant global health challenge. The emergence of laparoscopic common bile duct exploration (LCBDE) has transformed the management of these conditions by offering a less invasive alternative to traditional open surgery. This literature review aims to analyze published literature to identify and understand the risk factors associated…
Backgrounds/aims Routine execution of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is considered a good practice to help early identification of biliary duct injuries (BDIs) or common bile duct (CBD) stones. This study aimed to determine the impact of IOC during LC. Methods This is a retrospective, monocentric study, including patients with a LC performed from January 2020 to December…
Background To date, endoscopic retrograde cholangiopancreatography has become a well-established treatment for common bile duct (CBD) stones. However, it is not suitable for some special patients, such as pregnant women, children or those who cannot stop taking anti-coagulation/anti-platelet agents because of radiation injury and the risk of postoperative bleeding resulting from endoscopic sphincterotomy. To overc…
Single-stage management of choledocholithiasis with concomitant gallstones consists of performing either laparoscopic bile duct exploration (LBDE) or intra-operative endoscopic retrograde cholangiopancreatography at the same time as laparoscopic cholecystectomy. Transductal LBDE is associated with significantly higher post-operative morbidity, longer operative times and longer hospital stay when compared to transc…
Introduction The aim of this study was to assess and evaluate the feasibility of using the Ambu aScope3 (aScope) for common bile duct (CBD) explorations, stone detection and extraction, as well as to assess feasibility of its use through the laparoscopic ports in a low-volume centre. Methods This is a dual centre prospective study, conducted between February 2015 and August 2019, of patients undergoing laparoscopi…
Open article record in new tab ↗Background T-tube drainage after laparoscopic common bile duct exploration (LCBDE) has been demonstrated to be safe and effective for patients with acute cholangitis caused by common bile duct stones (CBDSs). The outcomes after LCBDE with primary closure in patients with CBDS-related acute cholangitis are unknown. The present study aimed to evaluate the efficacy and safety of LCBDE with primary closure for the man…
Gallstone cholangiopancreatitis is a potentially life-threatening pathology which requires quick intervention involving endoscopists, interventional radiologists, anesthesiologists and surgeons in relation to clinical conditions. Treatment possibilities are varied, especially with current progress in advanced endoscopy, interventional radiology, and minimally invasive surgery. The following treatments are availabl…
Open article record in new tab ↗Objective To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones. Methods In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate risk (IR) and low risk (LR) for SAGES, ASGE and ESGE criteria. All patients underwent ERCP and risk strata were analyzed…
Open article record in new tab ↗Background The incidence of common bile duct (CBD) stones accounts for approximately 10%-15% of all CBD diseases. Approximately 8%-20% of these patients also have gallstones with heterogenous signs and symptoms. Aim To investigate the clinical effects of laparoscopic cholecystectomy (LC) combined with endoscopic retrograde cholangiopancreatography (ERCP) and LC with CBD excision and stone extraction in one-stage s…
Open article record in new tab ↗Aim Laparoscopic CBD exploration (LCBDE) for Common bile duct (CBD) stones with laparoscopic cholecystectomy (LC) is an alternative to open CBD exploration, in patients with failed endoscopic retrograde cholangio-pancreatography (ERCP). It is being performed at few centres with adequate surgical expertise. Herein, we present our experience of LCBDE with LC over a period of 10 years. Patients and methods A retrospe…
Open article record in new tab ↗Background Endoscopic retrograde cholangiopancreatography (ERCP) is the primary treatment for removing common bile duct (CBD) stones. The risk factors for CBD stone recurrence after ERCP have been discussed for many years. However, the influence of CBD morphology has never been noticed. Aim To evaluate CBD morphology and other predictors affecting CBD stone recurrence in average patients. Methods A retrospective a…