Management of difficult bile duct stones with temporary plastic stent and ursodeoxycholic acid treatment: 5 years of experience

Aim: The aim of the study was to investigate effect temporary plastic stenting and ursodeoxycholic acid (UDCA) treatment on difficult choledochal stones that cannot be removed by basic ERCP techniques in patients who applied our clinic with occlusion underwent endoscopic retrograde cholangiopancreatography (ERCP).
 Material Method: Patients were scanned retrospectively using hospital database. due malignancy, biliary tract injury benign strictures excluded from study. 61 not successful such as sphincterotomy (EST) mechanical lithotripsy (ML) included 750 mg/day UDCA given for three months stent applied. After treatment, tried again.
 Results: Among stent+UDCA, (4.9%) had perioperative bleeding, one (1.6%) patient peroperative perforation, four (6.6%) postoperative pancreatitis, mortality. mean stay 1.96±2.1 days. Post-procedure total bilirubin direct values observed lower than before procedure (respectively, p