Different Techniques for Management of Common Bile Duct Stones : A Single Centre Experience

Mohamed Reda M. El Wakil; Nadia A. Abdelkader; Hossam El-Deen M. Salem; Ahmed Samir Abo Halima

doi:10.12816/0007858

Article Details

Different Techniques for Management of Common Bile Duct Stones : A Single Centre Experience

Authors:

Mohamed Reda M. El Wakil | Nadia A. Abdelkader | Hossam El-Deen M. Salem | Ahmed Samir Abo Halima

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2014 Vol.44 Issue 3, pp.539-546

Document Type:

Article

Publication Date:

12/2014

Document Language:

English

Document ID (Org No.):

55816

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0007858

Descriptors:

Keywords:

Abstract:

 Local experience on the combined technique of endoscopic sphincterotomy followed by endoscopicballoon dilation is scarce. This study clarified whether this combined technique will offerany advantages, with respect to therapeutic outcome and complications rate, as compared withendoscopic sphincterotomy (ES) and endoscopic balloon dilatation (EBD) alone for the extractionof large and/or multiple common bile duct stones. For a total of 76 patients, extraction oflarge and/or multiple common bile duct (CBD) stones during endoscopic retrograde cholangiopancreatographywas performed. According to the used technique, they were categorized into 3groups; Endoscopic sphincterotomy, endoscopic balloon dilatation or combined technique. Thesuccess rate of complete stone removal and the incidence of procedure-related complicationswere compared among the three groups. Success rate after one session was recorded to be comparableamong the three groups. Relative Risk Ratio assessment of success rate after single sessionamong the three groups showed no statistically significant difference. Regarding bleeding,only 3 (10%) cases were recorded in the ES group with no cases in the other 2 groups. No significantdifference was noted among the three groups regarding other complication. The combinedtechnique of ES followed by EBD is an effective and safe technique enables extraction of multipleand/or relatively large stones. It could be a reasonable alternative option when standard techniquesare inadequate to remove bile duct stones.

Article Details

Different Techniques for Management of Common Bile Duct Stones : A Single Centre Experience

Authors:

Mohamed Reda M. El Wakil | Nadia A. Abdelkader | Hossam El-Deen M. Salem | Ahmed Samir Abo Halima

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2014 Vol.44 Issue 3, pp.539-546

Document Type:

Article

Publication Date:

12/2014

Document Language:

English

Document ID (Org No.):

55816

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0007858

Descriptors:

BILE DUCTS

ENDOSCOPES

HAEMORRHAGE

PANCREATITIS

PATIENTS

Common Bile Duct

Gall Stone

Endoscopic Balloon Dilation

Endoscopic Sphincterotomy

Issues

Article Details

Authors: Mohamed Reda M. El Wakil | Nadia A. Abdelkader | Hossam El-Deen M. Salem | Ahmed Samir Abo Halima

Publisher: The Egyptian Society of Parasitology

Main Topics: Medicine

Journal: Journal of the Egyptian Society of Parasitology 2014 Vol.44 Issue 3, pp.539-546

Document Type: Article

Publication Date: 12/2014

Document Language: English

Document ID (Org No.): 55816

Frequency: Tri-Annual

pISSN: 11100583

DOI: 10.12816/0007858

Descriptors:

Issues

Authors:

Mohamed Reda M. El Wakil | Nadia A. Abdelkader | Hossam El-Deen M. Salem | Ahmed Samir Abo Halima

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2014 Vol.44 Issue 3, pp.539-546

Document Type:

Article

Publication Date:

12/2014

Document Language:

English

Document ID (Org No.):

55816

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0007858