Background American Society of Gastrointestinal Endoscopy (ASGE) criteria is widely used to predict probability of choledocholithiasis among patients with symptomatic gallstone disease but does not take sex into consideration. Methods The cohort study included patients who underwent either endoscopic retrograde cholangiopancreatography or intraoperative cholangiography for suspected choledoch...

The presence of a stone or stones within the common bile duct (CBD) is known as choledocholithiasis. Choledocholithiasis is reported in 3%-22% of patients undergoing cholecystectomies [1]. A confirmatory diagnosis of choledocholithiasis is made using advanced imaging, including magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP). Treatment varie...

It was interesting to read an original article by Patel et al., entitled “Endoscopic Ultrasonography Can Prevent Unnecessary Diagnostic Endoscopic Retrograde Cholangiopancreatography Even in Patients with High Likelihood of Choledocholithiasis and Inconclusive Ultrasonography: Results of a Prospective Study” which provided valuable prospective data for the use of endoscopic ultrasonography (EUS...

background disturbances in lipid metabolism which occur during hypothyroidism lead to the formation of gallstones. this study aims to evaluate the thyroid function pattern in patients with common bile duct (cbd) stones. methods this case-control study recruited 151 patients with preliminary diagnoses of cbd stone who underwent ercp (cases). the control group comprised healthy people who met the...

BACKGROUND The choledocolithiasis has an incidence of 8-20% in patients with cholecystolithiasis. The preoperative diagnosis guides the interventional treatment on the bile duct AIM To evaluate the sensitivity and specificity of the laboratory markers and imaging studies for choledocholithiasis preoperatively. METHODS The study comprised 254 patients divided into two groups: the control gro...

Background: Choledocholithiasis leads to unconjugated hyper bilirubinemia which is manifested as intermittent jaundice. This type of jaundice is known as obstructive or surgical jaundice. The aim of this study is to evaluate the effectiveness and safety of Biliary Diversions in Choledocholithiasis. Methods: 50 Cases were selected for this study. A suitable biliary bypass was done in each case a...

Choledocholithiasis is the presence of stones in common bile duct (CBD). post-cholecystectomy rare. Nonetheless, this a report 40-year-old woman who was presented with severe epigastric pain high-grade fever, tea-coloured urine, pale stool, and jaundice. She had history pangastritis cholecystectomy two years ago.This case describes significant diagnostic dilemma choledocholithiasis, particularl...

Endoscopicretrogradecholangio-pancreatography with Laparoscopic Cholecystectomy (LC) has been applied to the treatment of cholelithiasis and choledocholithiasis. However, there are some limitations. Patients in this group adopt Laparoscopic cholecystectomy, Laparoscopic Cholecystectomy and Common Bile Duct Exploration (LEBDE), Endoscopic Nasobiliary Drainage (ENBD) and primary common bile duct ...

Choledocholithiasis can be caused by either primary or secondary bile duct stones. Although patients with sickle cell disease (SCD) are at high risk of development of pigmented gallstones due to chronic hemolysis, primary choledocholithiasis in SCD is very uncommon. The delay in the diagnosis of biliary tract pathology can occur in patients who had a prior cholecystectomy. There is a possible r...