Patients >18 y and those with
choledocholithiasis who underwent ERCP followed by LC were included in the study.
The most common indication for performing ERCP in our study was
choledocholithiasis as in other studies7,12-13.
Sclerosing cholangitis is a disease known to be caused by various etiologic factors such as
choledocholithiasis, biliary tumor, and infection.
There was no MRI evidence of cholelithiasis or
choledocholithiasis.
Choledocholithiasis is the 2nd most common complication of gallbladder stone disease and its frequency is about 10-20 % in symptomatic gallstones as well as in 5 % of asymptomatic patients [1, 2].
Kim et al., "Endoscopic nasogallbladder drainage versus gallbladder stenting before cholecystectomy in patients with acute cholecystitis and a high suspicion of
choledocholithiasis: a prospective randomised preliminary study," Scandinavian Journal of Gastroenterology, vol.
An abdominal CT scan revealed pancreatic edema without necrosis, cholelithiasis,
choledocholithiasis, or gall bladder thickening.
CCA risk factors include, but are not limited to, primary sclerosing cholangitis,
choledocholithiasis, long-standing ulcerative colitis, infestation with Clonorchis sinensis, Caroli's disease, and congenital hepatic fibrosis [2, 3, 8].
This was then confirmed on abdominal ultrasound, which, in addition to the above findings, showed that there was no evidence of
choledocholithiasis or biliary duct dilatation.
This less favorable situation creates a subset of patients recovered from an initial episode of mild biliary pancreatitis on the one hand, but with an uncertain risk of
choledocholithiasis on the other hand.
Nevertheless, patients after gastric bypass will continue to develop indications for ERCP because of
choledocholithiasis.
With continual improvement in the technology and expertise in laparoscopic techniques, laparoscopic common bile duct exploration is becoming more popular and may be the next paradigm in the management of
choledocholithiasis [3].