![](/images/graphics-bg.png)
Endoscopic Management of the Difficult Bile Duct Stones: A Single Tertiary Center Experience
Joint Authors
Kuzu, Ufuk Barış
Ödemiş, Bülent
Suna, Nuretdin
Öztaş, Erkin
Akpınar, Muhammet Yener
Aksoy, Adem
Saygılı, Fatih
Coskun, Orhan
Sırtaş, Zeliha
Arı, Derya
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Most common bile duct (CBD) stones can be removed with standard techniques using endoscopic retrograde cholangiopancreatography (ERCP), but in some cases additional methods are needed.
In this study we aimed to investigate the management of patients with difficult stones and the factors that affect the outcome of patients that have undergone periodic endobiliary stenting.
Materials and Methods.
Data of 1529 patients with naive papilla who had undergone ERCP with an indication of CBD stones was evaluated retrospectively.
Stones that could not be removed with standard techniques were defined as “difficult stones.” Cholangiograms of patients who had difficult stones were revised prospectively.
Results.
Two hundred and eight patients (13.6%) had difficult stones; 150 of these patients were followed up with periodic endobiliary stenting and successful biliary clearance was achieved in 85.3% of them.
Both CBD (p<0.001) and largest stone size (p<0.001) were observed to be significantly reduced between the first and the last procedure.
This difference was even more significant in successfully treated patients.
Conclusions.
Periodic endobiliary stenting can be used as an effective treatment for patients with difficult stones.
Sizes of the CBD and of the largest stone are independent risk factors that affect the success rate.
American Psychological Association (APA)
Ödemiş, Bülent& Kuzu, Ufuk Barış& Öztaş, Erkin& Saygılı, Fatih& Suna, Nuretdin& Coskun, Orhan…[et al.]. 2016. Endoscopic Management of the Difficult Bile Duct Stones: A Single Tertiary Center Experience. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104821
Modern Language Association (MLA)
Ödemiş, Bülent…[et al.]. Endoscopic Management of the Difficult Bile Duct Stones: A Single Tertiary Center Experience. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1104821
American Medical Association (AMA)
Ödemiş, Bülent& Kuzu, Ufuk Barış& Öztaş, Erkin& Saygılı, Fatih& Suna, Nuretdin& Coskun, Orhan…[et al.]. Endoscopic Management of the Difficult Bile Duct Stones: A Single Tertiary Center Experience. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104821
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104821