Endoscopic management of bile duct stones at Auckland Hospital in 1988 and 1989.

Abstract

OBJECTS:

to define the role of endoscopic management of bile duct calculi in a tertiary referral institution.

METHODS:

an unselected series of 466 patients presenting for ERCP over a two year period were reviewed and 103 patients with bile duct calculi identified. The results of endoscopic management of these patients is reviewed.

RESULTS:

endoscopic sphincterotomy was successful in 98% of patients, and resulted in clearance of calculi from the bile duct in 75%, and in a further 8% symptoms were successfully controlled by sphincterotomy with or without endoprostheses, despite residual calculi. Seventy-nine percent of the patients with choledocholithiasis were successfully managed endoscopically, minor complications occurring in 16% which were significant in only 4%, with no procedure related mortality.

CONCLUSIONS:

endoscopic sphincterotomy provides a safe and effective means of managing bile duct calculi, even if stone extraction cannot be completed.

• Authors: P Y Wong, M R Lane, I Hamilton
• Journal: The New Zealand medical journal (N Z Med J) Vol. 104 Issue 920 Pg. 403-5 (Sep 25 1991) ISSN: 0028-8446 [Print] New Zealand
• PMID: 1923086 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Cholangiopancreatography, Endoscopic Retrograde
• Female
• Gallstones (diagnostic imaging, surgery)
• Humans
• Male
• Middle Aged
• Sphincterotomy, Endoscopic