Mechanical lithotripsy and/or stenting in management of difficult common bile duct stones

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dc.authoridOzkan, Orhan Veli/0000-0002-2862-294X
dc.contributor.authorAkcakaya, Adem
dc.contributor.authorOzkan, Orhan Veli
dc.contributor.authorBas, Gurhan
dc.contributor.authorKarakelleoglu, Atilla
dc.contributor.authorKocaman, Orhan
dc.contributor.authorOkan, Ismail
dc.contributor.authorSahin, Mustafa
dc.date.accessioned2024-09-18T20:11:38Z
dc.date.available2024-09-18T20:11:38Z
dc.date.issued2009
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBACKGROUND: Mechanical lithotripsy and/or stent insertion is the alternative therapeutic approach in difficult endoscopic retrograde cholangiopancreatography (ERCP) case. This study was designed to investigate the appropriate treatment for extraction of bile duct stones in difficult cases of ERCP. METHODS: Between 2000 and 2008, 744 ERCP procedures were performed in 592 patients with choledocholithiasis in our endoscopy unit. The demographic features, and clinical and laboratory findings were collected from a prospectively held database. Bile duct calculi were extracted by basket and/or balloon catheter following ERCP and sphincterotomy. Patients with retained stones were regarded as difficult cases. These patients were treated with mechanical lithotripsy and those with incomplete clearance of stones underwent stent placement. RESULTS: Two hundred and forty-five patients (41%) were male and 347 (59%) were female with a mean age of 58 years (range 19-95 years). Stones were impacted in 27 patients (5%). Stone extraction was performed by basket and/or balloon catheter in 610 ERCP procedures, and lithotripsy was performed in 70 ERCP procedures. Forty-four patients underwent stent insertion, and 20 underwent stent replacement. Morbidity occurred in 39 patients (5%), with no mortality associated with the procedure. Hemorrhage occurred in 9 patients and basket impaction in 4. Mild pancreatitis and cholangitis developed in 12 and 11 patients, respectively. CONCLUSION: Difficult cases of bile duct stones can be treated successfully with lithotripsy, and a stent should be applied when the common bile duct cannot be cleared completely.en_US
dc.identifier.endpage528en_US
dc.identifier.issn1499-3872
dc.identifier.issn2352-9377
dc.identifier.issue5en_US
dc.identifier.pmid19822497en_US
dc.identifier.scopus2-s2.0-70350284059en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage524en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8990
dc.identifier.volume8en_US
dc.identifier.wosWOS:000270889800011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofHepatobiliary & Pancreatic Diseases Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcommon bile duct stoneen_US
dc.subjectendoscopic retrograde cholangiopancreatographyen_US
dc.subjectstone extractionen_US
dc.subjectmechanical lithotripsyen_US
dc.subjectstentingen_US
dc.titleMechanical lithotripsy and/or stenting in management of difficult common bile duct stonesen_US
dc.typeArticleen_US

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