Sonography was used to investigate the prevalence of symptomatic and silent biliary tract disease, in free living urban population in Kashmir. A randomly drawn sample of 1695 subjects aged 15 years or above was interviewed by a questionnaire. Twenty six had previous cholecystectomies, all for gall stones. Ultrasonography was carried out on 1104 (65.1%). The responder rates for ultrasonography i...

Background/study aims Laser lithotripsy can effectively fragment complicated biliary stones, but current cholangioscopes are limited by fragility, restricted mobility or moderate visual resolution. The efficacy and safety of a new digital single-operator peroral cholangioscope to guide laser lithotripsy were evaluated. Patients and methods In this prospective single-center series, consecutive p...

Stones in the biliary tree may coexist with gall-bladder stones, may be found only in the common duct (in the absence of gall-bladder stones) or, more rarely, may be present in the intrahepatic biliary tree-as in the Caroli syndrome.1 One of the most frequent causes of choledocholithiasis, however, is the retained common duct stone which has been left behind inadvertently after elective or emer...

Oriental cholangiohepatitis (OCH) is a disease characterized by intrabiliary pigment stone formation, resulting in recurrent bouts of cholangitis. OCH is found mostly in Southeast Asia but it is occasionally recognized in Western societies. OCH etiology is largely unknown. We report our experience with a patient who presented with acute cholecystitis. Following laparoscopic cholecystectomy, she...

Bile duct stones are routinely removed during endoscopic retrograde cholangiopancreatography (ERCP) with biliary sphincterotomy, using standard balloon or basket extraction techniques. However, in approximately 10%–15% of patients, bile duct stonesmay be difficult to remove owing to challenging access to the bile duct, large bile duct stones (>15mm in diameter), intrahepatic stones, or impacted...

BACKGROUND AND AIMS Even if the motor activity of the gall bladder and sphincter of Oddi (SO) are integrated, it is not known if the presence of stones in the gall bladder affects SO function. The aim of the study was to compare SO motor activity in patients with and without gall stones. PATIENTS AND METHODS In a series of 155 patients consecutively submitted to endoscopic retrograde cholangi...

Though variations of intrahepatic biliary anatomy are quite common, duplication of the extrahepatic biliary system is extremely rare and reported infrequently in the literature. Laparoscopic cholecystectomy is one of the most common general surgery procedures performed. Unfortunately, iatrogenic bile duct injuries can contribute to significant morbidity including hospital readmissions, infectio...

1. Urinary stones 1.1 Pathogenesis 1.2 Classification of stones 1.2.1 Calcium stones 1.2.2 Uric Acid Stones 1.2.3 Magnesium Ammonium Phosphate Stones, struvite or infection stones 1.2.4 Cystine 1.3 Risk factors 1.3.1 Non-genetic factors 1.3.1.1 Diet 1.3.1.2 Body size 1.3.1.3 Environment 1.3.2 Genetic factors 2. Other urological stones: Testicular microlithiasis 3. Biliary and gallbladder stones...

Background and aims—Even if the motor activity of the gall bladder and sphincter of Oddi (SO) are integrated, it is not known if the presence of stones in the gall bladder aVects SO function. The aim of the study was to compare SO motor activity in patients with and without gall stones. Patients and methods—In a series of 155 patients consecutively submitted to endoscopic retrograde cholangiopa...