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Clinical outcomes and complications of retained biliary stents during the COVID-19 pandemic: a case series.
J Surg Case Rep
January 2025
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathamndu 44600, Nepal.
Biliary stents are widely used following endoscopic management of choledocholithiasis. Removal is recommended within 3-6 months to prevent complications. This study analyzed cases of retained biliary stents managed at our institution.
View Article and Find Full Text PDFRisk 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.
Objective: Aim: To identify and evaluate the risk factors affecting the success of single-stage laparoscopic treatment for choledocholithiasis.
Patients And Methods: Materials and Methods: We performed a retrospective analysis of treatment of 139 patients who underwent single-stage laparoscopic CBD exploration and cholecystectomy from 2018 to 2024. Data were analysed by the use of multivariate logistic regression to identify significant predictors of negative outcomes.
Outcomes of Gallbladder Drainage Techniques in Acute Cholecystitis: Percutaneous Versus Endoscopic Methods.
Cureus
November 2024
Internal Medicine, D.G. Khan Medical College, Dera Ghazi Khan, PAK.
Acute cholecystitis, often caused by gallstones obstructing the cystic duct, is a potentially life-threatening condition that requires timely intervention. High-risk patients, particularly those with significant comorbidities, may not be suitable candidates for laparoscopic cholecystectomy, necessitating alternative drainage techniques such as percutaneous cholecystostomy (PC) and endoscopic gallbladder drainage (EGD). This systematic review aims to compare the efficacy, safety, and outcomes of PC and EGD in managing acute cholecystitis in high-risk surgical patients.
View Article and Find Full Text PDFTherapeutic endoscopic retrograde cholangiopancreatography in a patient with asplenia-type heterotaxy syndrome: A case report.
World J Gastrointest Surg
November 2024
Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China.
Background: Asplenia-type heterotaxy syndrome (HS) is rare and refers to visceral malposition and dysmorphism. It is associated with a high infant mortality rate due to cardiac anomalies, and related digestive endoscopic interventions are poorly understood. With the improved long-term prognosis of these individuals after modern cardiac surgery, intra-abdominal anomalies have become increasingly significant.
View Article and Find Full Text PDFStandard Cannulation versus Fistulotomy for Biliary Access in Endoscopic Retrograde Cholangiopancreatography: Should We Expect the Same Success when Treating Choledocholithiasis?
GE Port J Gastroenterol
December 2024
Department of Gastroenterology Hospital de Santa Luzia, Viana do Castelo, Portugal.
Article Synopsis
- The study compares the success and safety of needle-knife fistulotomy (NKF) versus standard cannulation for treating choledocholithiasis during ERCP, finding that NKF is associated with a shorter sphincterotomy.
- Out of 379 patients analyzed, NKF had a significantly lower initial success rate for stone removal (82.0% vs. 92.1%) compared to standard cannulation, especially for larger stones.
- While complications like pancreatitis were similar in both groups, the study concludes that NKF is less effective for stone removal, highlighting the differences based on stone size and quantity.
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