choledocholithiasis

(redirected from Cbd stone)
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Related to Cbd stone: cholecystitis, cholangitis, MRCP

choledocholithiasis

[‚kō·lə‚däk·ə‚li′thī·ə·səs]
(medicine)
The presence of calculi in the common bile duct.
References in periodicals archive ?
Since its introduction in 1995-96, Magnetic Resonance Cholangiopancreatography (MRCP) has emerged as a noninvasive diagnostic alternative to ERCP for the detection and exclusion of CBD stones.
6%) 1 6 Gender Female 156 (93%) 32 36 Male 11 (7%) 2 2 Co-morbidity DM and/or HPT 54(32%) 7 16 HIV 20(12%) 6 2 Outcomes ERC 40(24%) 2 23 CBD stones 15(9%) 2 5 Conversions 9(5.
I also perform the procedure in all patients with acute cholecystitis, since they have roughly a 10% chance of having a CBD stone.
MRCP was performed pre-endoscopy in 3 patients, indicating the presence of retained CBD stones with CD leaks in all cases.
Our unit is a tertiary care referral centre where ERCP is routinely performed for CBD stone extraction.
Out of 225 patients, cannulation failed in 4 cases due to duodenal stenosis and 154 ( 70 % ) out of 221 cases of CBD stones mandated endoscopic treatment with balloon trail, basket extraction, placement of plastic biliary stent temporarily or use of mechanical lithotriptor.
Furthermore, a Cochrane database review published in 2006 has suggested that ERCP was less successful than open surgery in CBD stone clearance and was associated with a higher mortality.
Intraoperative cholangiography is the gold standard of diagnosis but CBD stone can be diagnosed preoperatively with ultrasound, ERCP, or magnetic resonance Cholangiopancreatograph.
A crucial factor for the formation of CBD stone is biliary stasis, 7 which may be caused by sphincter of oddi (SO) stenosis, SO dyskinesia & CBD stricture.
5cms and solitary CBD stone though 109 patients (24%) had multiple (1-3) stones [Fig-4, 5] which could be extracted easily, were the patients in this study.
Giving details of other procedures performed in the unit he said that it included 551 Band Ligation, 72 Injection Sclerotherapy, 55 PEG Placements, 38 dilatations, 23 esophageal Metallic Stent placements, 940 colonoscopies, one hundred twenty four polypectomies besides placing plastic stents and managing CBD stones.
Although in general CBD stones were more common in general population including females as compared to choledochal cyst, and this difference may be due to easy feasibility to investigations.