Biliary and pancreatic obstruction during gallstone migration

Oría, Alejandro; Frider, Bernardo; Alvarez, Juan; Chiappetta, Luis; Souto, Norberto; Fontana, Juan J.

doi:10.1007/bf02798927

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Cited by 13 publications

(1 citation statement)

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“…The median duration from ultrasound to cholangiography was 2.8 days; allowing for a protracted window for spontaneous stone migration from the biliary tree. Adult studies have estimated the rate of short-term spontaneous migration of CBD stones between 21-31% (22)(23)(24). Accelerated triage to endoscopic or surgical intervention using the choledocholithiasis prediction model could shorten this window to definitive intervention.…”

Section: Limitationsmentioning

confidence: 99%

Creation of a Pediatric Choledocholithiasis Prediction Model

Cohen

Tian

Sauer

et al. 2021

J. pediatr. gastroenterol. nutr.

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Section: Limitationsmentioning

confidence: 99%

Creation of a Pediatric Choledocholithiasis Prediction Model

Cohen

Tian

Sauer

et al. 2021

J. pediatr. gastroenterol. nutr.

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Risk Factors for Acute Pancreatitis in Patients With Migrating Gallstones

Oría

Alvarez²,

Chiappetta³

et al. 1989

Arch Surg

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Choledocholithiasis in Acute Gallstone Pancreatitis

Oría

Alvarez²,

Chiappetta³

et al. 1991

Arch Surg

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A prospective study of choledocholithiasis was performed using 110 patients with presumptive diagnoses of acute gallstone pancreatitis. The incidence of migrating and persistent bile duct stones was determined using stool screening and intraoperative cholangiography, and the clinical significance of continued stone obstruction of the papilla was investigated using ultrasound assessment of migration time and a second evaluation of prognostic signs. Pancreatic inflammation was confirmed at surgery in 51 patients, of whom only 27 had stones in the stools (n = 22) or the bile duct (n = 5), suggesting that choledocholithiasis may not be the sole triggering factor of acute gallstone pancreatitis. Neither delayed migration nor persistent stone obstruction of the papilla promoted pancreatic inflammation.

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Biliary and pancreatic obstruction during gallstone migration

Cited by 13 publications

References 13 publications

Creation of a Pediatric Choledocholithiasis Prediction Model

Creation of a Pediatric Choledocholithiasis Prediction Model

Risk Factors for Acute Pancreatitis in Patients With Migrating Gallstones

Choledocholithiasis in Acute Gallstone Pancreatitis

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