Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function
Aims. To investigate the effect of biliary stent placement without endoscopic sphincterotomy (EST) on common bile duct stones (CBDS) disappearance and the contribution of preserving the duodenal papilla function to reduce recurrence of CBDS. Methods. Sixty-six patients admitted for acute obstructive...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/6153893 |
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| _version_ | 1832550182731907072 |
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| author | Tatsuki Ueda Masataka Kikuyama Yuzo Kodama Takafumi Kurokami |
| author_facet | Tatsuki Ueda Masataka Kikuyama Yuzo Kodama Takafumi Kurokami |
| author_sort | Tatsuki Ueda |
| collection | DOAJ |
| description | Aims. To investigate the effect of biliary stent placement without endoscopic sphincterotomy (EST) on common bile duct stones (CBDS) disappearance and the contribution of preserving the duodenal papilla function to reduce recurrence of CBDS. Methods. Sixty-six patients admitted for acute obstructive cholangitis due to CBDS who underwent biliary stent placement without EST for 2 years from March 2011 were evaluated retrospectively. The second endoscopic retrograde cholangiopancreatography (ERCP) was performed for treatment of CBDS 3 to 4 months after the first ERCP. We estimated the rate of stone disappearance at the time of second ERCP. Results. CBDS disappearance was observed in 32 (48.5%) of 66 patients. The diameter of the bile ducts and the diameter of CBDS in patients with CBDS disappearance were significantly smaller than in those with CBDS requiring extraction (p=0.007 and p<0.001, resp.). Stone disappearance was evident when the diameter of bile ducts and that of CBDS were <10 and 7 mm, respectively (p=0.002). Conclusions. Short-term stent placement without EST eliminates CBDS while preserving duodenal papilla function and may be suitable for treating CBDS in patients with nondilated bile ducts and small CBDS. |
| format | Article |
| id | doaj-art-025222973e6f46a88dc7c0b0d18530c7 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-025222973e6f46a88dc7c0b0d18530c72025-02-03T06:07:25ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/61538936153893Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla FunctionTatsuki Ueda0Masataka Kikuyama1Yuzo Kodama2Takafumi Kurokami3Department of Gastroenterology, Kyoto University Hospital, 54 Kawaracho, Shogoin, Sakyoku, Kyoto 606-8507, JapanDepartment of Gastroenterology, Shizuoka General Hospital, 4-27-1 Kita-ando, Aoiku, Shizuoka 420-8527, JapanDepartment of Gastroenterology, Kyoto University Hospital, 54 Kawaracho, Shogoin, Sakyoku, Kyoto 606-8507, JapanDepartment of Gastroenterology, Shizuoka General Hospital, 4-27-1 Kita-ando, Aoiku, Shizuoka 420-8527, JapanAims. To investigate the effect of biliary stent placement without endoscopic sphincterotomy (EST) on common bile duct stones (CBDS) disappearance and the contribution of preserving the duodenal papilla function to reduce recurrence of CBDS. Methods. Sixty-six patients admitted for acute obstructive cholangitis due to CBDS who underwent biliary stent placement without EST for 2 years from March 2011 were evaluated retrospectively. The second endoscopic retrograde cholangiopancreatography (ERCP) was performed for treatment of CBDS 3 to 4 months after the first ERCP. We estimated the rate of stone disappearance at the time of second ERCP. Results. CBDS disappearance was observed in 32 (48.5%) of 66 patients. The diameter of the bile ducts and the diameter of CBDS in patients with CBDS disappearance were significantly smaller than in those with CBDS requiring extraction (p=0.007 and p<0.001, resp.). Stone disappearance was evident when the diameter of bile ducts and that of CBDS were <10 and 7 mm, respectively (p=0.002). Conclusions. Short-term stent placement without EST eliminates CBDS while preserving duodenal papilla function and may be suitable for treating CBDS in patients with nondilated bile ducts and small CBDS.http://dx.doi.org/10.1155/2016/6153893 |
| spellingShingle | Tatsuki Ueda Masataka Kikuyama Yuzo Kodama Takafumi Kurokami Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function Gastroenterology Research and Practice |
| title | Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function |
| title_full | Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function |
| title_fullStr | Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function |
| title_full_unstemmed | Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function |
| title_short | Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function |
| title_sort | short term biliary stent placement contributing common bile duct stone disappearance with preservation of duodenal papilla function |
| url | http://dx.doi.org/10.1155/2016/6153893 |
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