>Year 2016, Issue 4
Hernández CJR, Echeveste RG, Ramírez TÁ, Ramírez BÉJ, Parra LL, Montaño AP
Reports of therapeutic results with high and moderate risk of common bile duct stones
Cir Gen 2016; 38 (4)
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Introduction: Gallbladder stone disease has a 10 to 15% prevalence. A common complication is bile duct stones, which are reported in up to 11.9%. We used the Attasaranya scale to classify bile duct stone risk and report the outcome of each management option. Material and methods: Descriptive, observational and retrospective study. Patients with high and moderate risk of bile duct stones.
Results: Sixty-six individuals were included, 36 with high risk and 28 with moderate risk. Of the high risk group, 50% had a single factor (jaundice 61.1%). Endoscopic retrograde cholangiopancreatography was performed on 29 subjects (72.5%), with a confirmed stone in 58.3%. In the moderate risk group, diminished liver function test (LFT) was the most frequent factor (96.4%). In this group, endoscopic retrograde cholangiopancreatography was performed on 10.7%, with a 33.3% morbidity rate.
Discussion: Common bile duct stone disease is a frequent problem in the practice of general surgery, with no universally accepted guidelines to mandate treatment options. In half of the patients from the high-risk group in whom endoscopic retrograde cholangiopancreatography was performed, a stone was visible. This was only seen in ten percent of the patients from the moderate risk group.
Conclusions: The Attasaranya scale can be used to classify the risk of common bile duct stones to provide adequate therapeutic options.
||Choledocholithiasis, common bile duct stones, cholangiography, endoscopic retrograde cholangiopancreatography.
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>Year 2016, Issue 4