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Do not rush for surgery; stent placement may be an effective step for definitive treatment of initially unextractable common bile duct stones with ERCP

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dc.contributor.authorGÜNAL, ÖMER
dc.contributor.authorsAttaallah, Wafi; Cingi, Asim; Karpuz, Sakir; Karakus, Mehmet; Gunal, Omer
dc.date.accessioned2022-03-12T20:27:31Z
dc.date.available2022-03-12T20:27:31Z
dc.date.issued2016
dc.description.abstractEndoscopically unextractable common bile duct stones may be challenging for the endoscopist. In this study, we investigated the rate of stone removal after the endoscopic insertion of a biliary stent in patients with common bile duct stones unextractable via ERCP. Records of patients with common bile duct stone/s who underwent ERCP at single center were retrospectively analyzed. Only patients with common bile duct stone/s who had a stent placed due to unyielding stone removal were eligible for inclusion into this study. Endoscopic biliary stents were placed in cases of unextractable stone. After a follow-up period, a second ERCP procedure was performed. Major outcomes were the rate of stent insertion because of unextractable bile duct stones, the rate of spontaneous stone passage and the rate of stone extraction after the endoscopic insertion of a biliary stent. A total of 66 (28 %) patients had a stent placed due to unyielding attempts for stone removal, and 43 patients were included in the study. The second ERCP procedure revealed that 10 patients (23 %) had spontaneous stone passage and 5 (12 %) had spontaneous passage of both the stone and the stent. In the second procedure, biliary balloon was used successfully to extract the retained stone in 22 (51 %) patients. Thus, a total of 37 patients (86 %) with retained stones had a successful stone extraction during the second ERCP procedure. Biliary stenting may be an effective step for definitive treatment of initially unextractable common bile duct stones with ERCP.
dc.identifier.doi10.1007/s00464-015-4355-y
dc.identifier.eissn1432-2218
dc.identifier.issn0930-2794
dc.identifier.pubmed26123343
dc.identifier.urihttps://hdl.handle.net/11424/233710
dc.identifier.wosWOS:000373022200029
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCholedocholithiasis
dc.subjectERCP
dc.subjectBiliary stenting
dc.subjectLONG-TERM TREATMENT
dc.subjectELDERLY-PATIENTS
dc.subjectBALLOON DILATION
dc.subjectCHOLEDOCHOLITHIASIS
dc.subjectSPHINCTEROTOMY
dc.subjectENDOPROSTHESIS
dc.subjectMANAGEMENT
dc.subjectEFFICACY
dc.titleDo not rush for surgery; stent placement may be an effective step for definitive treatment of initially unextractable common bile duct stones with ERCP
dc.typearticle
dspace.entity.typePublication
local.avesis.id60ec92c9-a3f5-4abd-8ee1-099d076897bf
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
local.journal.quartileQ1
oaire.citation.endPage1479
oaire.citation.issue4
oaire.citation.startPage1473
oaire.citation.titleSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
oaire.citation.volume30
relation.isAuthorOfPublication7d0acefd-78df-4028-a40b-9b817f60efa4
relation.isAuthorOfPublication.latestForDiscovery7d0acefd-78df-4028-a40b-9b817f60efa4

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