ASSESSMENT AND TREATMENT OF CHOLEDOCHOLITHIASIS WHEN ENDOSCOPIC SPHINCTEROTOMY IS NOT SUCCESSFUL

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

SHOJAIEFARD ABOLFAZL; ESMAEILZADEH MAJID; KHORGAMI ZHAMAK; SOTOUDEHMANESH RASOUL; GHAFOURI ALI

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: ARCHIVES OF IRANIAN MEDICINE Year:2012 | Volume:15 | Issue:5 Page(s): 275-278

Download Full-Text

View:

421

Download:

341

Cites:

Information Journal Paper

Title

ASSESSMENT AND TREATMENT OF CHOLEDOCHOLITHIASIS WHEN ENDOSCOPIC SPHINCTEROTOMY IS NOT SUCCESSFUL

Author(s)

Keywords

CHOLEDOCHODUODENOSTOMY

CHOLEDOCHOJEJUNOSTOMY

CHOLEDOCHOLITHIASIS

ERCP

Abstract

Background: CHOLEDOCHOLITHIASIS exists in approximately 15% of patients with gallstones and is present in 3%-10% of those undergoing cholecystectomy.Methods: In this study, we retrospectively analyzed the outcome patients with CHOLEDOCHOLITHIASIS that were managed by open common bile duct (CBD) exploration according to our center’s protocol. Endoscopic retrograde cholangiopancreatography (ERCP) was performed for CBD stone clearance. If ERCP and sphincterotomy were not successful, open surgical exploration of CBD was performed with T-tube insertion without routine intraoperative cholangiography (IOC).Results: We studied 1462 patients with CHOLEDOCHOLITHIASIS. ERCP was successful in in 1276 (87.2%) patients. A total of 186 (12.8%) underwent surgery. Of these, 82 (45.2%) had CBD exploration and T-tube insertion without IOC. CHOLEDOCHODUODENOSTOMY was performed in 82 (44.1%) patients and CHOLEDOCHOJEJUNOSTOMY was performed in 20 (10.8%). Retained stones were found only in 4 cases which were treated by ERCP.Conclusion: ERCP is successful in most cases with CHOLEDOCHOLITHIASIS. If ERCP fails, open exploration of CBD and T-tube insertion, or biliary-enteric anastomosis are acceptable ways for CBD drainage. The rate of retained stone is not more than expected, thus elective IOC is more acceptable than routine IOC. Routine IOC is time-consuming and particularly difficult in elderly patients and emergency conditions.

Cites

No record.

References

No record.

Cite

APA: Copy

SHOJAIEFARD, ABOLFAZL, ESMAEILZADEH, MAJID, KHORGAMI, ZHAMAK, SOTOUDEHMANESH, RASOUL, & GHAFOURI, ALI. (2012). ASSESSMENT AND TREATMENT OF CHOLEDOCHOLITHIASIS WHEN ENDOSCOPIC SPHINCTEROTOMY IS NOT SUCCESSFUL. ARCHIVES OF IRANIAN MEDICINE, 15(5), 275-278. SID. https://sid.ir/paper/280803/en

Vancouver: Copy

SHOJAIEFARD ABOLFAZL, ESMAEILZADEH MAJID, KHORGAMI ZHAMAK, SOTOUDEHMANESH RASOUL, GHAFOURI ALI. ASSESSMENT AND TREATMENT OF CHOLEDOCHOLITHIASIS WHEN ENDOSCOPIC SPHINCTEROTOMY IS NOT SUCCESSFUL. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2012;15(5):275-278. Available from: https://sid.ir/paper/280803/en

IEEE: Copy

ABOLFAZL SHOJAIEFARD, MAJID ESMAEILZADEH, ZHAMAK KHORGAMI, RASOUL SOTOUDEHMANESH, and ALI GHAFOURI, “ASSESSMENT AND TREATMENT OF CHOLEDOCHOLITHIASIS WHEN ENDOSCOPIC SPHINCTEROTOMY IS NOT SUCCESSFUL,” ARCHIVES OF IRANIAN MEDICINE, vol. 15, no. 5, pp. 275–278, 2012, [Online]. Available: https://sid.ir/paper/280803/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops