Predictive factors for extraction of common bile duct stones during endoscopic retrograde cholangiopancreatography in Billroth II anatomy patients.

Surgical Endoscopy
Jia-Su LiFeng Liu

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) for extraction of common bile duct (CBD) stones in Billroth II anatomy patients is still a technical challenge and factors affecting stone extraction have not yet been clarified. This study aimed to analyze our experience and evaluate potential factors affecting CBD stone extraction. A retrospective analysis of CBD stones patients with a history of Billroth II gastrectomy, who underwent therapeutic ERCP for stone extraction at our center from August 1999 to December 2017, was conducted. The outcomes of ERCP and potential factors affecting stone extraction were examined. A total of 227 patients were enrolled, and 176 patients (77.5%) achieved technical success. The success rate of duodenal ampullary access and selective biliary cannulation was 84.1% (191/227) and 92.1% (176/191), respectively. The mean CBD diameter was 15 mm (range 6-35 mm), and the largest stone size was 13 mm (range 4-36 mm). CBD stones were ultimately removed in 137 patients (77.8%), and 105 patients (59.7%) for the first session. Mechanical lithotripsy was used in 17 patients (9.7%). The overall ERCP-related complication rate was 6.3% (11/176), including bleeding in 3 patients (1.7%) and mild pancreatitis...Continue Reading

References

Jul 7, 2007·Scandinavian Journal of Gastroenterology·Sang Hyub LeeYong Bum Bum Yoon
Mar 2, 2010·Gastrointestinal Endoscopy·Peter B CottonJohn J Vargo
Apr 20, 2010·Gastrointestinal Endoscopy·Akira HoriuchiNaoki Tanaka
Jul 29, 2011·Journal of Gastroenterology and Hepatology·Cheol Woong ChoiMong Cho
Apr 8, 2014·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Kook Hyun Kim, Tae-Nyeun Kim
Nov 8, 2015·Gastrointestinal Endoscopy·Tae Young ParkJi Woong Jang
Oct 21, 2016·Expert Review of Gastroenterology & Hepatology·Takeshi Ogura, Kazuhide Higuchi
Dec 22, 2016·Gastroenterology Research and Practice·Bülent ÖdemişYener Akpınar
Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Bhavesh DoshiGuan Huei Lee
Aug 18, 2018·Journal of Digestive Diseases·Yu AkazawaYasunari Nakamoto
Jun 13, 2019·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Jia-Su LiFeng Liu

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