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. 2021 Feb;99(2):233-237.

Preoperative endoscopic treatment for the management of concomitant gallstones and common bile duct stones

Mouna Medhioub, Amal Khsiba, Moufida Mahmoudi, Asma Ben Mohamed, Lamine Hamzaoui, Mohamed Moussadek Azouz

Preoperative endoscopic treatment for the management of concomitant gallstones and common bile duct stones

Mouna Medhioub et al. Tunis Med. 2021 Feb.

Abstract

Background: The combination of gallbladder stone and main biliary stone is seen in 10-25% of cases. Its management with the combination of endoscopic and surgical treatment is increasingly adopted.

Aim: To evaluate the efficacy and safety of preoperative retrograde endoscopic retrograde cholangiopancreatography in the treatment of concomitant gallstones and common bile duct stones.

Methods: Retrospective study including patients with concomitant gallstones and common bile duct stones and who had preoperative endoscopic retrograde cholangiopancreatography. The rate of clearance from the main bile duct and the rate of complications were evaluated.

Results: One hundred and twenty patients aged 57.4±2.7 years were included on average. The rate of catheterization of the main bile duct was 90%. Endoscopic retrograde cholangiopancreatography was unnecessary in 34.1%. Main bile duct clearance was obtained in 95.5% of patients who presented lithiasis during the procedure. The endoscopic treatment was efficient in 53,3% of cases Post endoscopic retrograde post cholangio-pancreatography acute panreatitis occurred in 1.6% of cases with an overall complication rate of 6.6%.

Conclusion: Preoperative endoscopic treatment of concomitant gallstones and common bile duct stones is effective with good safety.

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References

    1. McSherry CK, Ferstenberg H, Calhoun WF Lahman E, Virshup M. The natural history of diagnosed gallstone disease in symptomatic and asymptomatic patients. . Ann Surg . 1985;202:59–63. - PMC - PubMed
    1. Shabanzadeh DM, Sorensen LT, Jorgensen T. A prediction rule for risk stratification of incidentally discovered gallstones: results from a large cohort study. . Gastroenterology . 2016;105(1):156–167. - PubMed
    1. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. . European Association for the Study of the Liver. J Hepatol . 2016;65(1):146–181. - PubMed
    1. Manes G, Paspatis G, Aabakken L, Anderloni A, Arvanitakis M, Ah-Soune P et al . Endoscopic management of common bile duct stones:European Society of Gastrointestinal Endoscopy (ESGE) guideline . . Endoscopy. . 2019;51(5):472–491. - PubMed
    1. Morino M, Baracchi F, Miglietta C, Furlan N, Ragona R, Garbarini A. Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones. . Ann Surg . 2006;244:889–893. - PMC - PubMed

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