Clinical Profile and Endoscopic Management in Patients with Choledocholithiasis.

Q3 Medicine
Manoj Lamsal, Anurag Jha, Brindeswari Kafle, Rabin Hamal, Tshering Wangdi Sherpa, Pradip Kumar Kafle, Tulsi Ram Bhattarai, Mohan Bhusal, Dinesh Koirala, Rahul Pathak
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引用次数: 0

Abstract

Background: Common bile duct stones is a common medical problem that are usually seen in association with gallstone disease. Endoscopic management of Common bile duct stones involves doing Endoscopic retrograde cholangiography for bile duct clearance which is the primary therapeutic modality of choice. This prospective study was done to identify the clinical characteristics and outcome of patients presenting with Common bile duct stones undergoing Endoscopic retrograde cholangiography.

Methods: A prospective observational study was conducted on all patients undergoing Endoscopic retrograde cholangiography in department of Gastroenterology, Tribhuvan University Teaching Hospital, for management of diagnosed or suspected choledocholithiasis from April 2023 to March 2024. Patient demographics, clinical characteristics, Endoscopic retrograde cholangiography findings and post procedure outcome data were collected and analysed.

Results: A total of 110 patients (61.8% male and 38.2% female) were included in the final analysis. Successful clearance of Common bile duct was obtained in 76.4% patients with overall adverse events of 18% related to the procedure. Among patients undergoing the procedure, 16.4% couldn’t be managed with Endoscopic retrograde cholangiography and were referred for surgical management.

Conclusions: Endoscopic management in form of Endoscopic retrograde cholangiography is a safe and effective method to manage patients with Common bile duct stones.

胆总管结石患者的临床表现与内镜治疗
背景:胆总管结石是一种常见的医学问题,通常与胆石症并发。胆总管结石的内镜治疗包括通过内镜逆行胆管造影术进行胆管清理,这是首选的主要治疗方式。这项前瞻性研究旨在确定接受内镜逆行胆管造影术的胆总管结石患者的临床特征和治疗效果:这项前瞻性观察研究的对象是2023年4月至2024年3月期间在特里布万大学教学医院消化内科接受内镜逆行胆管造影术治疗确诊或疑似胆总管结石的所有患者。收集并分析了患者的人口统计学特征、临床特征、内镜逆行胆管造影检查结果和术后效果数据:共有 110 名患者(61.8% 为男性,38.2% 为女性)被纳入最终分析。76.4%的患者成功清除了胆总管,与手术相关的不良事件占18%。在接受手术的患者中,16.4%的患者无法通过内镜逆行性胆管造影术进行治疗,需要转诊接受手术治疗:结论:内镜逆行性胆管造影术是治疗胆总管结石患者的一种安全有效的方法。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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