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Endoscopic retrograde cholangiopancreatography combined with extracorporeal shock wave lithotripsy for the removal of large gallbladder stones: a pilot study.
BMC Gastroenterol
January 2025
Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No.17 Yongwaizheng Street, Nanchang, Jiangxi, 330006, China.
Background: Endoscopic gallbladder-preserving cholecystolithotomy (EGPC) has become an alternative option for treating cholecystolithiasis. However, developing a new method of EGPC in which the gallbladder wall is not damaged remains a challenge. This study introduced a new EGPC method called endoscopic retrograde cholangiopancreatography (ERCP) combined with extracorporeal shock wave lithotripsy (ESWL), which preserves the integrity of the gallbladder wall in the treatment of cholecystolithiasis complicated with choledocholithiasis.
View Article and Find Full Text PDFDemographic Profiles, Etiological Spectrum, and Anatomical Locations of the Post-Hepatic Obstructive Jaundice in Adult Population in Hadhramout Region in Yemen.
Diseases
December 2024
Department of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah 41477, Saudi Arabia.
Background: Obstructive jaundice is a common health challenge in daily clinical practice caused by a heterogeneous group of benign and malignant conditions in or around extrahepatic bile ducts. This study aimed to investigate the causes of obstructive jaundice, analyze the age and sex distribution, and report the locations of obstruction.
Methods: This was a retrospective study of electronic records of patients diagnosed with obstructive jaundice in the Hadhramout region in Yemen.
Risk factors affecting the success of single-stage laparoscopic choledocholithiasis treatment: a retrospective analysis.
Wiad Lek
December 2024
BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE; CNE ≪KYIV CITY CLINICAL HOSPITAL OF EMERGENCY CARE≫, KYIV, UKRAINE.
Article Synopsis
- The study aimed to identify risk factors that affect the success of single-stage laparoscopic treatment for patients with choledocholithiasis, analyzing data from 139 patients treated between 2018 and 2024.
- Multivariate logistic regression revealed that advanced age, multiple stones, and preoperative cholangitis are significant negative predictors of procedural success, greatly increasing the chances of negative outcomes.
- Understanding these factors can improve clinical practices, emphasizing the importance of preoperative imaging and techniques to enhance treatment success.
infection is associated with the risk and phenotypes of cholelithiasis: A multi-center study and meta-analysis.
World J Gastroenterol
December 2024
Department of Gastroenterology, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China.
Background: () is a prevalent pathogen associated with various diseases. Cholelithiasis is also a common condition. infection has been identified in the biliary system, suggesting its potential involvement in biliary diseases.
View Article and Find Full Text PDFPredictive factors of spontaneous common bile duct clearance and unnecessary ERCP in patients with choledocholithiasis.
Clin Res Hepatol Gastroenterol
January 2025
Gastroenterology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora 2720-276, Portugal; Gastroenterology Center, Hospital CUF Tejo/ Nova Medical School - Faculdade de Ciências Médicas, Lisbon 1600, Portugal.
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line procedure for choledocholithiasis treatment. However, it is associated with a 10 % rate of adverse events. Spontaneous migration of common bile duct (CBD) stones occurs in 6-33 % of choledocholithiasis cases, making ERCP avoidable.
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