GALLSTONES IN THE COMMON-DUCT.

Primary closure of the common bile duct after exploration for gallstones.

Laparoscopic Common Bile Duct Exploration in Patients With Gallstones and Choledocholithiasis

OBJECTIVES To compare the effectiveness of laparoscopic common bile duct exploration in patients with failed endoscopic retrograde cholangiopancreatography (ERCP). METHODS This is a descriptive, comparative study. Patients with an indication of common bile duct exploration between February 2005 and October 2008 were included. We studied 2 groups: Group A: patients with failed ERCP who underwe...

Efficacy and safety of laparoscopic bile duct exploration versus endoscopic sphincterotomy for concomitant gallstones and common bile duct stones

BACKGROUND The purpose of this study was to compare the efficacy and safety of laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct (CBD) stones exploration (LCBDE) with LC plus endoscopic sphincterotomy (EST) in the treatment of patients with gallstones and CBD stones. METHODS The authors searched PubMed, Web of Science, and Embase to identify relevant studies. Risk ratios (R...

Double-duct sign: do not forget the gallstones.

A double-duct sign is the combined dilatation of the common bile duct and pancreatic duct, often caused by cancer of the pancreas. We present a patient with colicky pain in the right upper quadrant of her abdomen. On radiological imaging and endosonography, she had a double-duct sign due to choledocholithiasis and no mass in the pancreatic head. A literature search was performed, which indicate...

Gallstones Within the Pancreatic Duct: An Underlying Pancraticobiliary Maljunction

A 77-year-old woman presented with back pain of several years’ duration. She did not consume alcohol, and had no family history of pancreatic disease. Her liver function tests were mildly elevated, but serum amylase and lipase were within normal limits. A subsequent magnetic resonance cholangiopancreatography (MRCP) showed choledocholithiasis without visible cholecystolithiasis, and pancreatoli...