Biliary stenting in the management of large or multiple common bile duct stones

作者: Akira Horiuchi , Yoshiko Nakayama , Masashi Kajiyama , Naoyuki Kato , Tetsuya Kamijima

DOI: 10.1016/J.GIE.2009.12.055

关键词:

摘要: Background Endoscopic biliary stenting with a plastic stent is often performed to prevent impaction of common bile duct (CBD) stones. The therapeutic effect placement in terms reduction stone size and number has not been established. Objective aim this study was the as therapy for CBD Design Retrospective study. Setting Municipal hospital outpatients. Interventions Patients large (≥20 mm) and/or multiple (≥3) stones had 7F double-pigtail without extraction at initial ERCP. Approximately 2 months later, removal attempted. before after placement, clearance, complications, 180-day mortality were evaluated. Results Forty patients studied. Stent averaged 65 days (range, 50-82 days). median (interquartile range) per patient fell (4.0 [3.0] vs. 2.0 [1.0] after; P Limitations A retrospective, single-center Conclusions associated becoming smaller disappearing any complications. Stenting followed by wait period may assist difficult removal.

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