The fate of patients who undergo "preoperative" ERCP to clear known or suspected bile duct stones.

Surgical Endoscopy
M F ByrneJ Baillie

Abstract

There is debate as to whether recurrent biliary complications are more common in patients who do not have elective cholecystectomy after endoscopic retrograde cholangiopancreatography (ERCP) management of common bile duct (CBD) stones. The aim of this study was to determine the fate of patients with intact gallbladders who have had CBD stones removed at ERCP, and to assess their risk of recurrent biliary symptoms. We retrospectively identified all patients in our large tertiary center population with intact gallbladders who had an ERCP for CBD stones from December 1999 to March 2002. We determined which patients had subsequent elective cholecystectomy, and the outcomes of patients who did not have elective surgery. 309 patients had CBD stones at ERCP during the study period, of which 139 had intact gallbladders at the time of ERCP. Of these 139 patients 59 had subsequent elective cholecystectomy, 11 by open operation and 48 laparoscopically. Of these 139 patients, 27 had cholecystectomy planned; 47 patients were managed with a wait-and-see strategy, 30 of whom were poor surgical candidates. Of these 47 patients in whom a wait-and-see policy was adopted, 9 (19%) developed complications including recurrent pain and/or abnormal li...Continue Reading

References

May 1, 1991·The British Journal of Surgery·J HillD E Tweedle
Mar 1, 1996·Scandinavian Journal of Gastroenterology·L E HammarstromH Stridbeck
Apr 16, 1998·Surgical Endoscopy·E H Phillips

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Citations

Jun 24, 2016·Surgical Endoscopy·Ahmed ElgeidieGamal Elebidy
Dec 9, 2010·Nature Reviews. Urology·Christopher DowsonArun Sahai
Nov 12, 2014·World Journal of Gastroenterology : WJG·Ahmed AbdelRaouf ElGeidie
May 19, 2018·United European Gastroenterology Journal·Ausra AleknaiteKestutis Strupas
Aug 10, 2021·World Journal of Gastroenterology : WJG·Pasquale Cianci, Enrico Restini

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