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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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