The treatment of retained stones in the common bile duct with sodium cholate infusion.
نویسندگان
چکیده
Six patients with stones retained in the common bile duct after cholecystectomy and common duct exploration were treated by intraductal infusion of a sodium cholate solution. In the five patients whose stones were between the T-tube and the duodenum the treatment was successful within a few days. A stone became transiently impacted in the ampullary region soon after beginning therapy in three patients and produced mild pancreatitis in two. The only failure was in a patient whose stone was between the T-tube and the liver.
منابع مشابه
Retained stones in the common bile duct: results of management.
Seventeen patients underwent treatment for retained common bile duct stones. In 7 patients the stones were removed via a T-tube tract using steerable catheters while 5 patients underwent ERCP and sphincterotomy and 5 underwent surgical re-exploration. Considering morbidity, mortality, success rate and patients' stay in the hospital, non-operative modalities should be the treatment of choice for...
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Laparoscopic cholecystectomy (LC) is currently the treatment of choice for symptomatic gallstones. Associated complications include bile duct injury, retained common bile duct (CBD) stones, and migration of surgical clips. Clip migration into the CBD can present with recurrent cholangitis over a period of time. Retained CBD stones can be another cause of recurrent cholangitis. A case of two sur...
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Common bile duct stones represent a significant danger to patients, because they can lead to biliary colic, obstructive jaundice, cholangitis, or pancreatitis. Common bile duct stones either migrate from the gallbladder or form primarily within the bile ducts themselves. Primary stones are more common in South Asia and are usually sequelae of biliary infection and stasis. In the United States a...
متن کاملEndoscopic sphincterotomy and gall stone removal.
CALCULI in the common bile duct are extremely common. Although such stones are overlooked at operation in only about 5 per cent of cases, the frequency of gall stone surgery means that there are many patients with retained stones.' Stones may rarely form within the biliary system after cholecystectomy. Removal of retained or reformed stones is important because of their morbid potential-cholang...
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ورودعنوان ژورنال:
- Gut
دوره 15 1 شماره
صفحات -
تاریخ انتشار 1974