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Clinical Features of Impacted Common Bile Duct Stones at Duodenal Papilla.
Korean J Gastroenterol
December 2024
Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea.
Background/aims: Urgent endoscopic removal is required for gallstones impacted at the duodenal papilla. This study compared the clinical features of impacted papillary stones (IPS) with those of common bile duct stones without impaction.
Methods: This study analyzed a common bile duct stone database from 2017 to 2023, identifying patients with IPS.
Case report: Lemmel syndrome-aggravated by consumption of fatty food.
Ann Med Surg (Lond)
December 2024
Department of Anaesthesia, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Introduction And Importance: One of the very rare causes of obstructive jaundice, Lemmel's syndrome, is caused due to biliary mechanical compression by a juxtapapillary diverticulum. It is defined as obstructive jaundice due to juxtapapillary diverticulum in the absence of cholelithiasis, periampullary tumours, or other detectable obstacles. It is an extremely rare syndrome; therefore, studies need to be done for proper diagnosis and management.
View Article and Find Full Text PDFImpact of periampullary diverticula on the rates of successful cannulation and ERCP complications: An up-to-date systematic review and meta-analysis.
J Dig Dis
November 2024
Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Objectives: Periampullary diverticulum (PAD) is usually incidentally discovered during abdominal imaging, gastrointestinal endoscopy, and endoscopic retrograde cholangiopancreatography (ERCP). The influence of PAD on ERCP outcomes is unclear. The aim of this systematic review and meta-analysis was to provide an up-to-date evaluation of the impact of PAD on cannulation and ERCP-related complications.
View Article and Find Full Text PDFSpyBite-Assisted Biliary Cannulation Facilitating Endoscopic Retrograde Cholangiopancreatography in the Presence of Intradiverticular Papilla.
ACG Case Rep J
November 2024
Gastroenterology and Hepatology, Cardioinfantil-La Cardio Foundation, Bogotá, Colombia.
Biliary cannulation in the context of intradiverticular papilla (IDP) during endoscopic retrograde cholangiopancreatography (ERCP) remains a challenge even for experts. A 71-year-old woman with choledocholithiasis failed extrainstitutional ERCP because of the presence of IDP. A new ERCP was performed, identifying papillary orifice at the edge of the diverticulum, biliary cannulation by means of SpyBite and sphincterotome, visualizing intra and extrahepatic bile duct dilatation, proceeding to large balloon bilioplasty with extraction of biliary sludge, with optimal results and without complications.
View Article and Find Full Text PDFComparison of ERCP Outcomes and Complication Risk between Elderly and Younger Patients: A Large Single-Center Study.
J Clin Med
October 2024
Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara 06800, Turkey.
Article Synopsis
- The study analyzed risks and clinical outcomes of endoscopic retrograde cholangiopancreatography (ERCP) in elderly (≥75 years) versus younger patients, finding 22.8% of participants were elderly.
- It revealed significant comorbidities and a higher prevalence of periampullary diverticulum (PAD) in the elderly, though key procedural metrics like cannulation technique and success rates were similar across age groups.
- Despite comparable complication rates, elderly patients experienced longer hospital stays and worse outcomes after complications, highlighting prolonged cannulation time as a notable risk factor.
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