Surgical management of impacted lower common bile duct stones
المؤلف
المصدر
العدد
المجلد 18، العدد 2 (30 سبتمبر/أيلول 2012)، ص ص. 1-7، 7ص.
الناشر
تاريخ النشر
2012-09-30
دولة النشر
العراق
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Common bile duct stones have been noted in 10-15% of patients with gall stones, these stones are either primary (formed in the common bile duct) or secondary (formed in the gallbladder and migrate down to the common bile duct).
Their management includes ERCP, biliary drainage procedure and choledochal exploration.
In this interventional study we reviewed transduodenal sphincteroplasty as an option for surgical treatment of impacted lower CBD stones from a point of morbidity and mortality.
A prospective study conducted over a period of 10 years from 2000 to 2010 in Basrah Teaching General Hospital and private hospitals in Basrah.
Twenty three patients with impacted lower CBD stones, there were 17 females (73.9 %) and 6 males (26.1 %) included in this study.
The impacted lower CBD stones and surgical jaundice are the main indications for surgery to which 23 patients underwent TDS.
All surgeries done in elective lists.
In this prospective study, 23 patients who were diagnosed as impacted lower CBD stones managed by TDS,17 (73.9 %) were females and 6 (26.1 %) were males.
In patients with impacted lower CBD stones who underwent TDS as an option for surgical treatment, 3 patients (13.04 %) developed duodenal leak, 2 of them treated conservatively and improved, while 1 patient re-explored.
Two patients (8.69 %) developed mild cholangitis which respond to conservative measures.
The hospital stay for all patients ranges 5–14 days postoperatively, with mean stay of 7 days.
No reported cases of postoperative pancreatitis following TDS in this study.
No mortality reported (0 %) in follow-up for 2 years in our study.
It is concluded from this prospective study that TDS in the surgical management of impacted lower CBD stones with fibrosed ampulla (sphincter of oddi) is a feasible option with accepted incidence of duodenal leak and cholangitis among the biliary drainage procedures especially in an area where the facility of ERCP are not present or failed in addition of dense adhesions in supraduedenal area intra-operatively when decisions of open abdominal exploration done, make supraduedenal CBD exploration difficult and hazardous.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Jawhar, Muhammad H.. 2012. Surgical management of impacted lower common bile duct stones. Basrah Journal of Surgery،Vol. 18, no. 2, pp.1-7.
https://search.emarefa.net/detail/BIM-316991
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Jawhar, Muhammad H.. Surgical management of impacted lower common bile duct stones. Basrah Journal of Surgery Vol. 18, no. 2 (Sep. 2012), pp.1-7.
https://search.emarefa.net/detail/BIM-316991
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Jawhar, Muhammad H.. Surgical management of impacted lower common bile duct stones. Basrah Journal of Surgery. 2012. Vol. 18, no. 2, pp.1-7.
https://search.emarefa.net/detail/BIM-316991
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 6-7
رقم السجل
BIM-316991
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر