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Original Research

Ann Med Res. 2000; 7(1): 15-18


Endoscopic removal of bile duct stones

 

Fatih HİLMİOĞLU*, Bülent YILDIRIM*, Melih KARINCAOĞLU*, Murat ALADAĞ*, Yüksel SEÇKİN*, Bülent KANTARÇEKEN*, İbrahim DOĞAN*Ramazan SARI**

 

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Abstract


 

Endoscopic procedures have lower complications, morbidity and mortality rates than surgery, in this respect endoscopic removal of common bile duct stones has become a routine procedure.

We report on 182 patients treated between 1993 and 1999 with common bile duct stones (82 men, 100 women, median age 57 years). Endoscopic retrograde cholangiopancreatography (ERCP) was successful in 179 of 182 patients (98%).  Endoscopic sphincterotomy, removal of choledochal stones or palliation with stent was successful in 175 of 179 patients (97%). Overall success rate of endoscopic treatment in choledochal stones was  96%.

Complication rates were as follows: pancreatitis %1, postsphincterotomy bleeding %1, and perforation 0.5%. One patient with hemorrhage died after surgery because of pancreatic ascites and sepsis. It is concluded that endoscopic removal of bile duct stones is a method with a high rate of success and low rate of complication.

Key words: ERCP, choledocholithiasis, endoscopic sphincterotomy






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