Carlos Leal, MD, General Surgery, Gastroenterology1, Andres Mendoza, MD, General Surgery1, Luis Cabrera, MD, General Surgery1, Mauricio Pedraza1, Sebastian Sanchez1, Jean Pulido1, Daniel Gomez, MD, FACS2. 1Bosque University, 2CPO
Background: The endoscopic management of choledocholithiasis remains a challenge for the general surgeon due to the complications that can arise from it. Traditional management has been surgical, but in recent years endoscopic management has had great relevance due to the high rate of effectiveness and for demonstrating lower morbidity and mortality rates.
Materials and Methods: We describe our experience at a third level surgical center of patients taken to Endoscopic Retrograde Cholangiopancreatography (ERCP), endoscopic balloon dilation and placement of biliary prosthesis (stent), during January 2016 to July 2017, for the management of giant common bile duct stones.
Results: A total of 11 cases completed the inclusion criteria. Eight (72.7%) patients corresponded to the female gender. Patient age averaged 62.3 years. A resolution frequency of giant common bile duct stones was found with this endoscopic procedure in 90%, without any reported complications. A decrease in the size of the stones, with a range of 2-3 procedures per patient.
Conclusion: The endoscopic procedure with ERCP dilatations of the bile duct and stent placement proves to be effective in the management of giant common bile duct stones with low complication rates.
Key Words: Common bile duct stones, stent, pneumatic dilatation
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93802
Program Number: P215
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster