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Is Cholecystectomy a cause of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography?
Acta Gastroenterol Belg
December 2021
Ankara Yildirim Beyazit University Faculty of Medicine Department of Gastroenterology, Ankara, Turkey.
Background And Study Aim: In European Society of Gastrointestinal Endoscopy guidelines, biliary cannulation of naive papillae is defined as difficult in the presence of more than 5 papilla contacts, more than 5min cannulation time or more than one unintended pancreatic duct cannulation or opacification. It is not known whether cholecystectomy is a cause of difficult biliary cannulation. This study aimed to investigate whether cholecystectomy (CCY) is a cause of difficult biliary cannulation in patients who have undergone Endoscopic Retrograde Cholangiopancreatography (ERCP) for choledocholithiasis.
View Article and Find Full Text PDFLimy bile (Milk of calcium bile) associated with gall stones discovered incidentally during laparoscopic cholecystectomy.
Int J Surg Case Rep
July 2019
Department of Surgery, College of Medicine, University of Duhok, Duhok City, Iraq. Electronic address:
Introduction: Limy bile is very rare condition in which the gall bladder is filled with a whitish material formed mainly of calcium carbonate. It may be associated with gall stones and present with epigastric and right upper quadrant pain, fever, nausea, and jaundice. The diagnosis is easily made during radiology showing opacification of the gallbladder or the bile ducts on plain abdominal X-rays and CT-scan.
View Article and Find Full Text PDFEctopic papilla of Vater in duodenum bulb: A hospital-based study.
Medicine (Baltimore)
February 2019
Division of Gastroenterology, Department of Internal Medicine, Taichung Tzu-Chi Hospital, Taichung, Taiwan.
The major papilla of Vater can be ectopically present in the stomach, pyloric canal, duodenal bulb, and third or fourth portion of the duodenum. In this study, we determined the clinical significance of ectopic papilla of Vater by endoscopic retrograde cholangiopancreatogram (ERCP).A retrospective study was conducted by reviewing the medical records of 6133 patients receiving ERCP from 1988 to 2011.
View Article and Find Full Text PDFEndoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury.
World J Gastroenterol
September 2013
Fredrik Swahn, Lars Enochsson, Lars Lundell, Johan Permert, Magnus Nilsson, Urban Arnelo, Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, S-141 86 Stockholm, Sweden.
Aim: To examine whether rendezvous endoscopic retrograde cholangiopancreatography (ERCP) is associated with less pancreatic damage, measured as leakage of proenzymes, than conventional ERCP.
Methods: Patients (n = 122) with symptomatic gallstone disease, intact papilla and no ongoing inflammation, were prospectively enrolled in this case-control designed study. Eighty-one patients were subjected to laparoscopic cholecystectomy and if intraoperative cholangiography suggested common bile duct stones (CBDS), rendezvous ERCP was performed intraoperatively (n = 40).
ERCP on a cohort of 2,986 patients with cholelitiasis: a 10-year experience of a single center.
J Gastrointestin Liver Dis
June 2013
Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Background & Aims: Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is the standard method of treatment for choledocholithiasis. We evaluated the diagnostic success rate and the outcomes of therapeutic ERCP for bile duct stones, in relation to the anatomical variants.
Method: A total of 3,097 consecutive ERCPs were performed in 2,986 patients during a 10-year period (2002-2011) in our endoscopy department.
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