Impact of Common Bile Duct stenting versus non-stenting for patients with choledocholethiasis prior cholecystectomy | ||||
| Zagazig University Medical Journal | ||||
| Article 21, Volume 30, Issue 7, October 2024, Page 3401-3413 PDF (885.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.294099.3420 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Amr Talaat EL Hawary1; Ahmad Ismail Ahmad Hassan2; Osama M.NA. Saidoun  3; Tarek M.H. Ibrahim2
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| 1Hepatology and Gastroenterology and endoscopy Unit-Zagazig University | ||||
| 2Internal Medicine Department, Faculty of Medicine, Zagazig University | ||||
| 3M.B.B.CH- Faculty of Medicine – University of Tripoli - Libya | ||||
| Abstract | ||||
| Background: In ERCP for treatment of choledicholethiasis, stent insertion after CBD clearance may be beneficial in lowering the pressure in the bile ducts and provide better bile drainage, However , CBD stenting is accused to be of unfavorable outcomes. Aim: To compare between CBD stenting and non-stenting as regard of improvement, complications and recurrence rate of CBD stones. Methods: This randomized clinical trial study was conducted at Endoscopic unit of Internal Medicine Department, Faculty of Medicine, Zagazig University Hospitals, on 30 patients with diagnosis of small CBD stones <15 mm by abdominal ultra-sonography or MRCP. Patients were divided into two groups: group (A): 30 patients who were scheduled for CBD clearance and stone retrieval with plastic CBD stent insertion after ERCP and group (B): 30 patients who were scheduled for CBD clearance and stone retrieval without plastic CBD stent insertion after ERCP. Results: There was significant difference between both groups regarding to pancreatitis that was lower in group A than group B (at different time intervals except at 45 days after ERCP). There was significant difference between both groups regarding to recurrence that was higher in group B than group A. Conclusion: Biliary stenting after CBD stone removal enhances outcomes and reduces the likelihood of stone recurrence. | ||||
| Keywords | ||||
| Common Bile Duct; Stenting Endoscopic Retrograde Cholangiopancreatography; Choledocholithiasis | ||||
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