The Usefulness of Endoscopic Retrograde Biliary Drainage Using Plastic Stents for Patients with Common Bile Duct Stone.
- Author:
Seung Jai YOON
1
;
Sung Tae RYU
;
Ju Hyun SUH
;
Seok JEONG
;
Jin Woo LEE
;
Kye Suk KWON
;
Don Haeng LEE
;
Pum Soo KIM
;
Chung HUR
;
Hyeon Geun CHO
;
Hyung Gil KIM
;
Yong Woon SHIN
;
Young Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Sungnam, Korea. gastro99@hanmail.net
- Publication Type:Original Article
- Keywords:
Endoscopic biliary stent;
Common bile duct stone
- MeSH:
Common Bile Duct*;
Constriction, Pathologic;
Disulfiram;
Diverticulum;
Drainage*;
Hemorrhage;
Humans;
Lost to Follow-Up;
Plastics*;
Sphincterotomy, Endoscopic;
Stents*
- From:Korean Journal of Gastrointestinal Endoscopy
2003;26(4):205-209
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Endoscopic sphincterotomy is considered the primary option for treatment of common bile duct (CBD) stones. In some cases, however, complete stone removal is difficult or even impossible. Endoscopic retrograde biliary drainage (ERBD) has been suggested to be an alternative treatment in such cases or in patients with high surgical risks. In this study, we evaluated the effectiveness of ERBD using a plastic stent for treatment of CBD stones. METHODS: From Mar. 1996 to Aug. 1999, ERBD was performed in 12 patients with CBD stones. Indications for ERBD were old age in 4, a large perivater diverticulum in 4, refusal of surgery in 2, bleeding risk and biliary stricture in 1 each. Nine had one of the significant associated medical conditions. RESULTS: Six of the 12 patients were symptom-free at the time of evaluation (mean 32.9 months). Of the remaining 6 patients, 3 had operation, 1 had a successful endoscopic stone removal, 1 had a stent exchange, and 1 was lost to follow-up at 26 months. Thus, overall success rate of ERBD for treatment of CBD stones was 75% (9/12). Median symptom-free duration was 41 months (range 18~59 months). CONCLUSIONS: In view of its relatively high success rate and long-term effect, ERBD is an alternative modality for treatment of CBD stones, especially in patients with high surgical risks.
