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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.
113 articles
Newest firstIntroduction: Common bile duct (CBD) exploration is indicated in symptomatic patients with choledocholithiasis when endoscopic retrograde cholangiopancreatography (ERCP) is not feasible or has failed. In selected complex cases, robotic surgery may offer technical advantages over conventional laparoscopy. Material and Methods: A 51-year-old woman presented with biliary colic and ultrasound evidence of choledocholit…
Open article record in new tab ↗Background Extracorporeal shock wave lithotripsy (ESWL) and laser lithotripsy (LL) are established alternatives for the management of difficult common bile duct (CBD) stones. However, there is limited evidence regarding the efficacy and safety of the latest-generation Dornier Delta III lithotripter. In particular, evidence on the clinical performance of the Dornier Delta III lithotripter is scarce. Aim To evaluate…
Cholecystocolonic fistula (CCF) is an uncommon complication of gallstone disease and is usually diagnosed intraoperatively. Concomitant choledocholithiasis and acute cholangitis create competing priorities: urgent biliary drainage and definitive treatment of the fistula. A 78-year-old woman presented with 3 days of upper abdominal pain, fever, vomiting and jaundice. She was febrile and hypotensive but stabilised a…
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…
Choledocholithiasis after cholecystectomy is a clinically significant cause of recurrent biliary symptoms and may result from retained stones, recurrent stone formation, or calculi within the cystic duct remnant. Although uncommon, cystic duct stump calculi can present several years after surgery and may be associated with chronic inflammation, adhesions, and, rarely, biliary fistula formation. We report the case…
Open article record in new tab ↗Background: Endoscopic retrograde cholangiopancreatography (ERCP) is the primary treatment option for choledocholithiasis. However, this procedure carries an inherent non-negligible risk of complications, requiring precise indications and careful patient selection. Endoscopic ultrasonography (EUS) can verify the presence of bile duct stones prior to ERCP. The current ESGE recommendations permit ERCP in high-risk p…
Open article record in new tab ↗Background: Magnetic resonance cholangiopancreatography (MRCP) enables non-invasive assessment of biliary lithiasis, duct caliber, and associated anatomical findings. Although age-dependent reference limits for common bile duct (CBD) diameter have been described, the relationships among age, gallbladder stone morphology, ductal anatomy, and CBD stones remain incompletely characterized in consecutive radiology coho…
Introduction Cholelithiasis is common following metabolic and bariatric surgery (MBS), with gallstones developing in up to one-third of patients due to rapid weight loss and metabolic changes. Procedures such as Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB) alter gastrointestinal anatomy, complicating endoscopic access to the biliary tree and presenting challenges in the management of c…
Open article record in new tab ↗Purpose This study aims to detect common bile duct (CBD) dilatation using deep learning methods from artificial intelligence algorithms. Methods To create a convolutional neural network (CNN) model, 77 magnetic resonance cholangiopancreatography (MRCP) images without CBD dilatation and 70 MRCP images with CBD dilatation were used. The system was developed using coronal maximum intensity projection reformatted 3D-M…
Patients with hemolytic diseases are at increased risk for gallstone-related complications. Modified scoring systems have been developed to assess which pediatric patients would benefit from endoscopic retrograde cholangiopancreatography (ERCP) to treat choledocholithiasis. This study aimed to evaluate the ability of the available criteria to determine which pediatric patients with hemolytic diseases are likely to…
Open article record in new tab ↗Introduction Choledocholithiasis is the presence of gallstones within the common bile duct (CBD), affecting 10-20% of gallbladder stone patients. Endoscopic retrograde cholangiopancreatography (ERCP) with stent insertion is a common treatment of CBD obstruction and stenosis to maintain duct patency, with stents typically replaced within 3-6 months. However, prolonged stent presence can lead to complications such a…
Open article record in new tab ↗Objectives Choledocholithiasis is the leading cause of biliary pancreatitis and biliary sepsis. Endoscopic retrograde cholangiopancreatography (ERCP) is considered a minimally invasive treatment for choledocholithiasis. However, diagnostic ERCP should be avoided. We conducted a prospective trial in high-risk choledocholithiasis patients based on the American Society for Gastrointestinal Endoscopy (ASGE) 2019 crite…
Background Early endoscopic retrograde cholangiopancreatography (ERCP) with biliary drainage is recommended for acute cholangitis based on disease severity. However, the optimal timing of ERCP remains unclear. This study aimed to evaluate the impact of urgent ERCP (≤ 24 h) on clinical outcomes in patients with common bile duct (CBD) stone-related acute cholangitis. Methods A retrospective cohort study was conducte…
Introduction Situs inversus totalis (SIT) is a rare congenital condition characterized by mirror-image transposition of the thoracic and abdominal viscera. Herein, we report a rare case of laparoscopic common bile duct exploration with choledochotomy and stone extraction in a patient with SIT and a history of total gastrectomy with Roux-en-Y (R-Y) reconstruction. Case presentation A 70-year-old woman with SIT and…
Purpose Common bile duct (CBD) stone recurrence after laparoscopic CBD exploration (LCBDE) is relatively common. No studies have been conducted evaluating the safety and feasibility of re-do LCBDE in the treatment of recurrent CBD stones. Methods This single-center retrospective study reviewed 340 consecutive patients who underwent LCBDE for CBD stones between January 2004 and December 2020. Patients with pancreat…
Open article record in new tab ↗Background Over the past 20 years, one-stage laparoscopic common bile duct exploration (LCBDE) combined with laparoscopic cholecystectomy (LC) has gained wide acceptance for the management of cholecystocholedocholithiasis (CCL). Despite this, the two-stage endo-laparoscopic approach, consisting of endoscopic retrograde cholangiopancreatography (ERCP) followed by LC, remains the most commonly used strategy. This st…
Introduction and importance Laparoscopic common bile duct (CBD) exploration with cholecystectomy in patients with situs inversus totalis (SIT) is technically demanding and warrants comprehensive knowledge of the mirror image anatomy along with laparoscopic orientation of the left upper quadrant. Case presentation In this case report, we present a female patient who presented with pain in the left hypochondrium, ye…
Open article record in new tab ↗A high recurrence rate is undesirable after treatment of common bile duct (CBD) stones. A major risk factor identified for recurrence is that invasive techniques, including surgical or endoscopic treatments, will impair the biliary tract system either by direct incision of the CBD or by cutting or dilating the ampulla of Vater. During endoscopic treatment, two main assisted methods for lithotomy, sphincterotomy an…
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,…
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