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Common bile duct stones, an experience in Ondokuz Mayis University

Yıl 2013, Cilt: 30 Sayı: 2, 109 - 114, 31.07.2013

Kağan Karabulut Gökhan Özbalcı Erol Kılıç Tuğrul Kesicioğlu Gökhan Lap İsmail Tarım Hamza Çınar Ayfer Polat Bahadir Güngör Kenan Erzurumlu

Öz

Common bile duct stones, obstructive jaundice, cholangitis and acute pancreatitis are diseases that can lead to serious complications. In our clinic between May 1993 and October 2011 the results of 101 patients who underwent surgery for common bile duct stone were retrospectively evaluated. Among 101 patients who were included in the study, 45 had symptomatic gallstones accompanied by common bile duct stone, 27 had mechanical icterus, 15 had common bile duct stone and 8 had cholangitis (five patients with suppurative cholangitis), six had acute cholecystitis. Thirthy one patients with common bile duct stones were treated with endoscopic retrograde cholangiopancreatography (ERCP). Surgical procedures were as follows; choledochoduodenostomy in 50 cases, T-tube drainage in 17 patients and transduodenal sphincteroplasty in three patients. Synchronous cholecystectomies were performed in all patients who had not undergone biliary surgery before. Early postoperative mortality was 3.9%. In this study, we detected choledocholithiasis in 11.31% of the all symptomatic cholelithiasis cases. Since our clinic provide tertiary healthcare, this rate becomes 9.85% by excluding those who underwent cholecystectomy for common bile duct stones at other hospitals. Given that the patients who referred to our clinic are in high-risk group, the actual rate of choledocholithiasis in our society is expected to be slightly below that value.

Anahtar Kelimeler

Common bile duct stones; choledocholithiasis; choledochoduodenostomy; transduodenal sphincteroplasty; surgery

Kaynakça

  • Alberti-Flor, J.J., Hernandez, M.E., Ferrer, J.P., 1991. Endoscopic treatment of the sump syndrome without sphincterotomy. Gastrointest. Endosc. 37, 107.
  • Baker, A., Neoptolemos, J., Leese, T., James, D.C., Fossard, D.P., 1987. Long term follow-up of patients with side to side choledochoduodenostomy and transduodenal sphincteroplasty. Ann. R. Coll. Surg. Engl. 68, 253-257.
  • Blair, A.J., Leung, J.W.C., Cotton, P.B., 1985. Endoscopic treatement of stomal stenosis after choledochoduodenostomy: Preliminary report. Surgery. 97, 487-489.
  • Blankensteijn, J.D., Terpstra, O.T., 1990. Early and late results following choledochoduodenostomy and choledochojejunostomy. HPB Surg. 2, 151-1
  • Blumgart, L.H., 2007. Stones in the common bile duct-clinical features and open surgical approaches and techniques. Ed. Blumgart LH, Surgery of the liver, biliary tract, and pancreas. 4th edition. Elsevier. P.A., USA. pp. 528-547.
  • Caroli-Bosc, F.X., Demarquay, J.F., Peten, E.P., Dumas, R., Bourgeon, A., Rampal, P., Delmont, J.P., 2000. Endoscopic management of sump syndrome after choledochoduodenostomy: Retrospective analysis of 30 cases. Gastrointest. Endosc. 51, 180-183.
  • Chapman, W.C., Halevy, A., Blumgart, L.H., Benjamin, I.S., 1995. Postcholecystectomy bile duct strictures. Management and outcome in 130 patients. Arch. Surg. 130, 597-602.
  • De Almeida, A., Cruz, A., Aldeia, F., 1984. Side to side choledochodenostomy in the management of cholelithiasis and associated disease: Facts and fiction. Am. J. Surg. 147, 253-259.
  • Demling, L., Koch, H., Classen, M., 1974. Endoscopic papillotomy and removal of gallstones: animal experiments and first clinical results [in German].Dtsch. Med. Wochenschr. 99, 2255-2257.
  • Freitas, M.L., Bell, R.L., Duffy, A.J., 2006. Choledocholithiasis: Evolving standards for diagnosis and management. World J. Gastroenterol. 12, 3162-3167.
  • Gonzalez, J.J., Sanz, L., Grana, J.L., Bermejo, G., Navarrete, F., Martinez, E., 1997. Biliary lithiasis in the elderly patient: Morbidity and mortality due to biliary surgery. Hepatogastroenterology. 44, 1565-1568.114.
  • Hacker, K.A., Schultz, C.C., Helling, T.S., 1990. Choledochotomy for calculous disease in the elderly. Am. J. Surg. 160, 610-612.
  • Hutter, M.M., Rattner, D.W., 2004. Open common bile duct exploration: When is it indicated? In: Cameron JL, editor. Current surgical therapy. 8th edition. Philadelphia. Elsevier Mosby. pp. 392-399.
  • Laasch, H.U., Martin, D.F., 2002. Management of benign biliary strictures. Cardiovasc. Intervent. Radiol. 25, 457-466.
  • Lee, S.H., Hwang, J.H., Yang, K.Y., Lee, K.H., Park, Y.S., Park, J.K., Woo, S.M., Yoo, J.W., Ryu, J.K., Kim, Y.T., Yoon, Y.B., 2008. Does endoscopic sphincterotomy reduce the recurrence rate of cholangitis in patients with cholangitis and suspected of a common bile duct stone not detected by ERCP? Gastrointest Endosc. 67, 51-57.
  • Leppard, W.M., Shary, T.M., Adams, D.B., Morgan, K.A., 2011. Choledochoduodenostomy: Is It Really So Bad? J Gastrointest Surg. 15, 7547
  • Madden, J., Chun, J., Kandalaft, S., Parekh, M., 1970. Choledochoduodenostomy: An unjustly maligned surgical problem. Am. J. Surg. 119, 45Majeed, A.W., Cameron, I.C., 2007. Cholecystolithiasis and stones in the common bile duct: Which approach, when? Ed. Blumgart LH, Surgery of the liver, biliary tract, and pancreas. Elsevier, 4th edition, PA, USA. pp. 565-572.
  • Martin, D.J., Vernon, D.R., Toouli, J., 2006. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. CD003327. Oría, A., Alvarez, J., Chiappetta, L., Spina, J.C., Hernández, N., Iovaldi, M., Ocampo, C., Paladino, A., 1991. Choledocholithiasis in acute gallstone pancreatitis. Incidence and clinical significance. Arch. Surg. 126, 566-568.
  • Parrilla, P., Ramirez, P., Sanchez, Bueno, F., Perez, J.M., Candel, M.F., Muelas, M.S., Robles, R., 1991. Long-term results of choledochoduode nostomy in the treatment of choledocholithiasis: Assessment of 225 cases. Brth. J. Surg. 78, 470-472.
  • Payen, J.L., Muscari, F., Vibert, E., Ernst, O., Pelletier, G., 2011. Biliary lithiasis. Presse Med. 40, 567-580.
  • Petelin, J.B., Pruett, C.S., 2004. Common bile duct stones. In: Cameron JL, editor. Current surgical therapy. 8th edition. Philadelphia. Elsevier Mosby. pp. 392-399.
  • Pottakkat, B., Vijayahari, R., Prakash, A., Singh, R.K., Behari, A., Kumar, A., Kapoor, V.K., Saxena, R., 2010. Factors predicting failure following high bilio-enteric anastomosis for post-cholecystectomy benign biliary strictures. J. Gastrointest Surg. 14, 1389-1394.
  • Ranjeev, P., Goh, K., 2000. Retrieval of an impacted Dormia basket and stone in situ using a novel method. Gastrointest. Endosc. 51, 504-506. Sgouros, S.N., Bergele, C., 2006. Endoscopic ultrasonography versus other diagnostic modalities in the diagnosis of choledocholithiasis. Dig. Dis. Sci. 51, 2280-2286.
  • Sicklick, J.K., Camp, M.S., Lillemoe, K.D., Melton, G.B., Yeo, C.J., Campbell, K.A., Talamini, M.A., Pitt, H.A., Coleman, J., Sauter, P.A., Cameron, J.L. 2005. Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: Perioperative results in 200 patients. Ann Surg. 241, 786-792.
  • Siegel, J.H., Kasmin, F.E., 1997. Biliary tract diseases in the elderly: Management and outcomes. Gut. 41, 433-435.
  • Steven, A., Ahrendt, Henry, A., 2004. Pitt. Biliary tract. In Sabiston Textbook of Surgery. Ed. Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Saunders Elsevier Company Philadelphia, pp 1597-1642.
  • Tocchi, A., Mazzoni, G., Liotta, G., Lepre, L., Cassini, D., Miccini, M., 2001. Late development of bile duct cancer in patients who had biliaryenteric drainage for benign disease: A follow-up study of more than 1,000 patients. Ann Surg. 234, 210-214.
  • Vaira, D., Cairns, S.R., Miglioli, M., Mulé, P., Menegatti, M., Barbara, L., 1993. Biliary surgery without the surgeon! Dig. Dis. 11, 278-287.
  • Vázquez-Sequeiros, E., González-Panizo, Tamargo, F., Boixeda-Miquel, D., Milicua, J.M., 2011. Diagnostic accuracy and therapeutic impact of endoscopic ultrasonography in patients with intermediate suspicion of choledocholithiasis and absence of findings in magnetic resonance cholangiography. Rev. Esp. Enferm. Dig. 103, 464-471.
  • Verbesey, J.E., Birkett, D.H., 2008 Common Bile Duct Exploration for Choledocholithiasis. Surg. Clin. North Am. 88, 1315-1328.
  • Zafar, S.N., Khan, M.R., Raza, R., Khan, M.N., Kasi, M., Rafiq, A., Jamy, O.H., 2011. Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis. BMC Surg. 25, 11-19.
  • Zang, J., Zhang, C., Zhou, H., Gao, J., 2011. Early laparoscopic cholecystectomy after endoscopic common bile duct stone extraction: The experience from a developing country. Surg. Laparosc. Endosc. Percutan Tech. 21, 120-122.

Yıl 2013, Cilt: 30 Sayı: 2, 109 - 114, 31.07.2013

Kağan Karabulut Gökhan Özbalcı Erol Kılıç Tuğrul Kesicioğlu Gökhan Lap İsmail Tarım Hamza Çınar Ayfer Polat Bahadir Güngör Kenan Erzurumlu

Öz

Kaynakça

  • Alberti-Flor, J.J., Hernandez, M.E., Ferrer, J.P., 1991. Endoscopic treatment of the sump syndrome without sphincterotomy. Gastrointest. Endosc. 37, 107.
  • Baker, A., Neoptolemos, J., Leese, T., James, D.C., Fossard, D.P., 1987. Long term follow-up of patients with side to side choledochoduodenostomy and transduodenal sphincteroplasty. Ann. R. Coll. Surg. Engl. 68, 253-257.
  • Blair, A.J., Leung, J.W.C., Cotton, P.B., 1985. Endoscopic treatement of stomal stenosis after choledochoduodenostomy: Preliminary report. Surgery. 97, 487-489.
  • Blankensteijn, J.D., Terpstra, O.T., 1990. Early and late results following choledochoduodenostomy and choledochojejunostomy. HPB Surg. 2, 151-1
  • Blumgart, L.H., 2007. Stones in the common bile duct-clinical features and open surgical approaches and techniques. Ed. Blumgart LH, Surgery of the liver, biliary tract, and pancreas. 4th edition. Elsevier. P.A., USA. pp. 528-547.
  • Caroli-Bosc, F.X., Demarquay, J.F., Peten, E.P., Dumas, R., Bourgeon, A., Rampal, P., Delmont, J.P., 2000. Endoscopic management of sump syndrome after choledochoduodenostomy: Retrospective analysis of 30 cases. Gastrointest. Endosc. 51, 180-183.
  • Chapman, W.C., Halevy, A., Blumgart, L.H., Benjamin, I.S., 1995. Postcholecystectomy bile duct strictures. Management and outcome in 130 patients. Arch. Surg. 130, 597-602.
  • De Almeida, A., Cruz, A., Aldeia, F., 1984. Side to side choledochodenostomy in the management of cholelithiasis and associated disease: Facts and fiction. Am. J. Surg. 147, 253-259.
  • Demling, L., Koch, H., Classen, M., 1974. Endoscopic papillotomy and removal of gallstones: animal experiments and first clinical results [in German].Dtsch. Med. Wochenschr. 99, 2255-2257.
  • Freitas, M.L., Bell, R.L., Duffy, A.J., 2006. Choledocholithiasis: Evolving standards for diagnosis and management. World J. Gastroenterol. 12, 3162-3167.
  • Gonzalez, J.J., Sanz, L., Grana, J.L., Bermejo, G., Navarrete, F., Martinez, E., 1997. Biliary lithiasis in the elderly patient: Morbidity and mortality due to biliary surgery. Hepatogastroenterology. 44, 1565-1568.114.
  • Hacker, K.A., Schultz, C.C., Helling, T.S., 1990. Choledochotomy for calculous disease in the elderly. Am. J. Surg. 160, 610-612.
  • Hutter, M.M., Rattner, D.W., 2004. Open common bile duct exploration: When is it indicated? In: Cameron JL, editor. Current surgical therapy. 8th edition. Philadelphia. Elsevier Mosby. pp. 392-399.
  • Laasch, H.U., Martin, D.F., 2002. Management of benign biliary strictures. Cardiovasc. Intervent. Radiol. 25, 457-466.
  • Lee, S.H., Hwang, J.H., Yang, K.Y., Lee, K.H., Park, Y.S., Park, J.K., Woo, S.M., Yoo, J.W., Ryu, J.K., Kim, Y.T., Yoon, Y.B., 2008. Does endoscopic sphincterotomy reduce the recurrence rate of cholangitis in patients with cholangitis and suspected of a common bile duct stone not detected by ERCP? Gastrointest Endosc. 67, 51-57.
  • Leppard, W.M., Shary, T.M., Adams, D.B., Morgan, K.A., 2011. Choledochoduodenostomy: Is It Really So Bad? J Gastrointest Surg. 15, 7547
  • Madden, J., Chun, J., Kandalaft, S., Parekh, M., 1970. Choledochoduodenostomy: An unjustly maligned surgical problem. Am. J. Surg. 119, 45Majeed, A.W., Cameron, I.C., 2007. Cholecystolithiasis and stones in the common bile duct: Which approach, when? Ed. Blumgart LH, Surgery of the liver, biliary tract, and pancreas. Elsevier, 4th edition, PA, USA. pp. 565-572.
  • Martin, D.J., Vernon, D.R., Toouli, J., 2006. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. CD003327. Oría, A., Alvarez, J., Chiappetta, L., Spina, J.C., Hernández, N., Iovaldi, M., Ocampo, C., Paladino, A., 1991. Choledocholithiasis in acute gallstone pancreatitis. Incidence and clinical significance. Arch. Surg. 126, 566-568.
  • Parrilla, P., Ramirez, P., Sanchez, Bueno, F., Perez, J.M., Candel, M.F., Muelas, M.S., Robles, R., 1991. Long-term results of choledochoduode nostomy in the treatment of choledocholithiasis: Assessment of 225 cases. Brth. J. Surg. 78, 470-472.
  • Payen, J.L., Muscari, F., Vibert, E., Ernst, O., Pelletier, G., 2011. Biliary lithiasis. Presse Med. 40, 567-580.
  • Petelin, J.B., Pruett, C.S., 2004. Common bile duct stones. In: Cameron JL, editor. Current surgical therapy. 8th edition. Philadelphia. Elsevier Mosby. pp. 392-399.
  • Pottakkat, B., Vijayahari, R., Prakash, A., Singh, R.K., Behari, A., Kumar, A., Kapoor, V.K., Saxena, R., 2010. Factors predicting failure following high bilio-enteric anastomosis for post-cholecystectomy benign biliary strictures. J. Gastrointest Surg. 14, 1389-1394.
  • Ranjeev, P., Goh, K., 2000. Retrieval of an impacted Dormia basket and stone in situ using a novel method. Gastrointest. Endosc. 51, 504-506. Sgouros, S.N., Bergele, C., 2006. Endoscopic ultrasonography versus other diagnostic modalities in the diagnosis of choledocholithiasis. Dig. Dis. Sci. 51, 2280-2286.
  • Sicklick, J.K., Camp, M.S., Lillemoe, K.D., Melton, G.B., Yeo, C.J., Campbell, K.A., Talamini, M.A., Pitt, H.A., Coleman, J., Sauter, P.A., Cameron, J.L. 2005. Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: Perioperative results in 200 patients. Ann Surg. 241, 786-792.
  • Siegel, J.H., Kasmin, F.E., 1997. Biliary tract diseases in the elderly: Management and outcomes. Gut. 41, 433-435.
  • Steven, A., Ahrendt, Henry, A., 2004. Pitt. Biliary tract. In Sabiston Textbook of Surgery. Ed. Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Saunders Elsevier Company Philadelphia, pp 1597-1642.
  • Tocchi, A., Mazzoni, G., Liotta, G., Lepre, L., Cassini, D., Miccini, M., 2001. Late development of bile duct cancer in patients who had biliaryenteric drainage for benign disease: A follow-up study of more than 1,000 patients. Ann Surg. 234, 210-214.
  • Vaira, D., Cairns, S.R., Miglioli, M., Mulé, P., Menegatti, M., Barbara, L., 1993. Biliary surgery without the surgeon! Dig. Dis. 11, 278-287.
  • Vázquez-Sequeiros, E., González-Panizo, Tamargo, F., Boixeda-Miquel, D., Milicua, J.M., 2011. Diagnostic accuracy and therapeutic impact of endoscopic ultrasonography in patients with intermediate suspicion of choledocholithiasis and absence of findings in magnetic resonance cholangiography. Rev. Esp. Enferm. Dig. 103, 464-471.
  • Verbesey, J.E., Birkett, D.H., 2008 Common Bile Duct Exploration for Choledocholithiasis. Surg. Clin. North Am. 88, 1315-1328.
  • Zafar, S.N., Khan, M.R., Raza, R., Khan, M.N., Kasi, M., Rafiq, A., Jamy, O.H., 2011. Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis. BMC Surg. 25, 11-19.
  • Zang, J., Zhang, C., Zhou, H., Gao, J., 2011. Early laparoscopic cholecystectomy after endoscopic common bile duct stone extraction: The experience from a developing country. Surg. Laparosc. Endosc. Percutan Tech. 21, 120-122.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Surgery Medical Sciences
Yazarlar

Kağan Karabulut Bu kişi benim

Gökhan Özbalcı

Erol Kılıç Bu kişi benim

Tuğrul Kesicioğlu

Gökhan Lap Bu kişi benim

İsmail Tarım Bu kişi benim

Hamza Çınar

Ayfer Polat

Bahadir Güngör Bu kişi benim

Kenan Erzurumlu

Yayımlanma Tarihi 31 Temmuz 2013
Gönderilme Tarihi 6 Şubat 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 30 Sayı: 2

Kaynak Göster

APA Karabulut, K., Özbalcı, G., Kılıç, E., Kesicioğlu, T., vd. (2013). Common bile duct stones, an experience in Ondokuz Mayis University. Journal of Experimental and Clinical Medicine, 30(2), 109-114. https://doi.org/10.5835/jecm.omu.30.02.004
AMA Karabulut K, Özbalcı G, Kılıç E, Kesicioğlu T, Lap G, Tarım İ, Çınar H, Polat A, Güngör B, Erzurumlu K. Common bile duct stones, an experience in Ondokuz Mayis University. J. Exp. Clin. Med. Temmuz 2013;30(2):109-114. doi:10.5835/jecm.omu.30.02.004
Chicago Karabulut, Kağan, Gökhan Özbalcı, Erol Kılıç, Tuğrul Kesicioğlu, Gökhan Lap, İsmail Tarım, Hamza Çınar, Ayfer Polat, Bahadir Güngör, ve Kenan Erzurumlu. “Common Bile Duct Stones, an Experience in Ondokuz Mayis University”. Journal of Experimental and Clinical Medicine 30, sy. 2 (Temmuz 2013): 109-14. https://doi.org/10.5835/jecm.omu.30.02.004.
EndNote Karabulut K, Özbalcı G, Kılıç E, Kesicioğlu T, Lap G, Tarım İ, Çınar H, Polat A, Güngör B, Erzurumlu K (01 Temmuz 2013) Common bile duct stones, an experience in Ondokuz Mayis University. Journal of Experimental and Clinical Medicine 30 2 109–114.
IEEE K. Karabulut, “Common bile duct stones, an experience in Ondokuz Mayis University”, J. Exp. Clin. Med., c. 30, sy. 2, ss. 109–114, 2013, doi: 10.5835/jecm.omu.30.02.004.
ISNAD Karabulut, Kağan vd. “Common Bile Duct Stones, an Experience in Ondokuz Mayis University”. Journal of Experimental and Clinical Medicine 30/2 (Temmuz 2013), 109-114. https://doi.org/10.5835/jecm.omu.30.02.004.
JAMA Karabulut K, Özbalcı G, Kılıç E, Kesicioğlu T, Lap G, Tarım İ, Çınar H, Polat A, Güngör B, Erzurumlu K. Common bile duct stones, an experience in Ondokuz Mayis University. J. Exp. Clin. Med. 2013;30:109–114.
MLA Karabulut, Kağan vd. “Common Bile Duct Stones, an Experience in Ondokuz Mayis University”. Journal of Experimental and Clinical Medicine, c. 30, sy. 2, 2013, ss. 109-14, doi:10.5835/jecm.omu.30.02.004.
Vancouver Karabulut K, Özbalcı G, Kılıç E, Kesicioğlu T, Lap G, Tarım İ, Çınar H, Polat A, Güngör B, Erzurumlu K. Common bile duct stones, an experience in Ondokuz Mayis University. J. Exp. Clin. Med. 2013;30(2):109-14.
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