What Can be Done for Large and Multiple Choledochal Stones? | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2020]

Author(s):

1. Ufuk Arslan: Department of General Surgery, University of Medical Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

2. Haci Murat Cayci: Department of General Surgery, University of Medical Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

3. Ali Tardu: Department of General Surgery, University of Medical Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

4. Umut Eren Erdogdu: Department of General Surgery, University of Medical Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

Abstract:

Endoscopic retrograde cholangiopancreatography may fail to extract large and multiple choledochal stones in a single session, necessitating a repeat procedure. This paper presents the case of a 68-year female patient who underwent stone extraction following endoscopic retrograde cholangiopancreatography and a subsequent biliary stenting procedure for multiple choledochal stones. Cholelithiasis and choledocholithiasis were detected in the above patient presenting with abdominal pain and jaundice. Conventional endoscopic retrograde cholangiopancreatography techniques failed to extract the stones, and the patient subsequently underwent a sequential insertion of multiple biliary stents. The procedure was used to facilitate the downsizing and fragmentation of the stones. The duct was then cleared using the balloon/basket technique. No problem occurred within the follow-up period and the patient underwent a successful cholecystectomy four weeks after the procedure. Multiple stenting is one treatment method that can be performed in selected patients with large and multiple choledochal stones.

Page(s): 435-437

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 30, Issue: 4, Year: 2020

Keywords:

Endoscopic retrograde cholangiopancreatography ERCP , choledocholithiasis , Biliary stenting

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