Nonprocedural Management of Common Bile Duct Stones

Kanuru, Reshi; Levine, Edward J.

doi:10.1007/978-3-319-22765-8_17

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…Actually, biliary blockage is thought to reduce human antibacterial defenses, promote immunological dysfunction, and increase small bowel bacterial colonization. Although the specific method is unknown, the retrograde ascent is the way in which germs are thought to enter the biliary system through the duodenum or portal venous blood [5].…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Recurrent Cholangitis Post Cholecystectomy in a Primary Care Hospital

Khan,

Irfan,

Ullah

et al. 2023

Cureus

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Cholangitis, a pathological disease characterized by inflammation of the biliary system, often occurs in conjunction with gallstone blockage and may lead to various problems, persisting for extended periods after cholecystectomy. The present report provides a comprehensive account of a clinical case involving a 35year-old female patient who had undergone cholecystectomy three years before and is now experiencing symptoms consistent with cholangitis. The individual was originally given conservative therapy, which included the administration of intravenous ceftriaxone antibiotics, analgesics, fluids, and gastrointestinal treatment. Subsequently, they were sent to a tertiary care hospital for the performance of endoscopic retrograde cholangiopancreatography (ERCP) and the placement of a stent. Following a period of seven days, laboratory tests showed a return to normalcy, showing a positive outcome in response to the use of conservative management strategies. The patient made the decision to have an elective laparoscopic cholecystectomy, resulting in a favorable recuperation and a hospitalization period of 24 hours. The aforementioned results jointly demonstrate the efficacy of conservative therapy in treating cholangitis and the potential for eventual elective surgery in individuals experiencing prolonged gallbladder problems. In conclusion, this case underscores the need to maintain a state of alertness with respect to complications associated with cholecystectomy, such as cholangitis. It also emphasizes the effectiveness of conservative treatment approaches and the probable necessity for elective surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Successful Management of Recurrent Cholangitis Post Cholecystectomy in a Primary Care Hospital

Khan,

Irfan,

Ullah

et al. 2023

Cureus

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“…On the other hand, Kialian stated that CBD expansion resulted from decreased hypotonic activity and contractility of the duct. They further suggested that this was mainly due to the characteristic fragmentation of the longitudinal smooth myocyte bands, interspersed connective tissue, and a decrease in the reticular-elastic framework of the duct wall over time [26]. Also, the use of calcium antagonists and nitroglycerine in the ageing population has been suggested to influence contractility and tonicity of the CBD wall, thus contributing to the variations in CBD [11].…”

Section: Discussionmentioning

confidence: 99%

Effect of Ageing on the Common Bile Duct Diameter

2021

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Introduction: The aim of the study was to determine if the common bile duct (CBD) diameter increases physiologically with age and investigate whether gallstones lead to changes in CBD diameter. Method: Our study is composed of 721 patients in 2 groups: 517 asymptomatic patients and 204 gallstones patients who underwent MRCP. Their CBD diameter was measured at its widest visible portion on MRCP. Simple linear regression of the average of these measurements was used to investigate the relationship between age and CBD diameter in both populations. Subjects were further divided into 8 subgroups age-wise, respectively, and their means compared decade-wise using ANOVA. Furthermore, each subgroup mean from both populations was compared with each other using a t test. Results: Among the 517 subjects, the mean CBD diameter was 5.3663 mm ± 1.43546 and correlated with age (p < 0.01), dilating at 0.07 mm/year. The mean diameter of our oldest group was 7.9 mm, resulting in a plausible upper limit of 8 mm for the asymptomatic population. The mean CBD diameter of the cholelithiasis population was 5.6738 mm ± 1.40986 and also correlated with age (p < 0.01). The mean CBD diameter of the age groups from the cholelithiasis population was larger than that from the asymptomatic population, but none were statistically significant. Conclusion: Although the CBD increases physiologically with age, there is no significant difference in CBD size between the general population and the cholelithiasis patients at any particular age. Gallstones do not independently dilate the CBD.

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Nonprocedural Management of Common Bile Duct Stones

Cited by 2 publications

References 16 publications

Successful Management of Recurrent Cholangitis Post Cholecystectomy in a Primary Care Hospital

Successful Management of Recurrent Cholangitis Post Cholecystectomy in a Primary Care Hospital

Effect of Ageing on the Common Bile Duct Diameter

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