Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka.

Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka. Research Abstract Details 

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Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka. Abstract Text:

A S D Liyanage,B D Gamage,W M M de Silva,

BACKGROUND: In spite of the advent of pre- and per-operative imaging techniques, the problem of residual bile duct stones following laparoscopic or open cholecystectomy still exists with a reported frequency of 2-10%. Endoscopic stone extraction is a minimally invasive technique which is fast becoming popular in the management of residual ductal stones. OBJECTIVE: To review the experience in our unit with regard to clinical presentation and the outcome following endoscopic management of residual bile duct stones. DESIGN: Retrospective descriptive study. SETTING: Patients referred to a tertiary referral centre with suspected residual bile duct stones following open or laparoscopic cholecystectomy from 5 March 2002 to 31 December 2006. PATIENTS AND METHOD: 56 patients with suspected residual bile duct stones were reviewed with regard to clinical presentation, stone profile, success rate and outcome. RESULTS: Mean age of the sample was 43.2 years. Female to male ratio was 34/22. 4 (73.3%). Main presenting symptom was epigastric or right hypochondrial pain (39.2%). Presence of residual stones or gravel noted in 91% (51) during ERCP. Complete stone extraction was achieved in 83.9% (47). All these patients became completely asymptomatic. Four patients had ERCP related morbidity. There were no deaths. Longest follow up was 38 months and the shortest 1.5 months. CONCLUSIONS: Endoscopic approach is a safe and effective method in the diagnosis and treatment of residual bile duct stones.

Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka. Publishing Authors By Initials

AS Liyanage,BD Gamage,WM de Silva,

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Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Ceylon medical journal

VOLUME: 52

Page Numbers: 122-4

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ISSN: 0009-0875

DAY: 21

MONTH: Dec

YEAR: 2007

Management and outcome of residual bile duct stones following cholecystectomy at a tertiary referral centre in Sri Lanka. Information

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LANGUAGE: eng

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AFFILIATION: Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

Country: Sri Lanka

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MEDLINETA: Ceylon Med J

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