Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

Introduction: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile...

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Autores principales:	S Pradhan, S Shah, S Maharjan, JN Shah
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Biliary pancreatitis Choledocholithiasis Intra-operative cholangiogram Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c88610ff9cbb4114bced6b1121f2a65d
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spelling	oai:doaj.org-article:c88610ff9cbb4114bced6b1121f2a65d2021-12-05T19:16:48ZPresence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis10.3126/jssn.v17i1.151751815-39842392-4772https://doaj.org/article/c88610ff9cbb4114bced6b1121f2a65d2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15175https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial. Objective of the study was to see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis. Methods: Patients admitted in the surgical ward in Patan Hospital and Bir Hospital with the diagnosis of mild acute biliary pancreatitis who underwent cholecystectomy with intra-operative cholangiography from August 2010 to July 2012 were studied. The outcome of cholangiogram was analyzed together with findings of common bile duct exploration. Results: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The common bile duct stone was found in 1.9%. Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration. Conclusion: The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 11-15 S PradhanS ShahS MaharjanJN ShahSociety of Surgeons of NepalarticleBiliary pancreatitisCholedocholithiasisIntra-operative cholangiogramSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 17, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Biliary pancreatitis Choledocholithiasis Intra-operative cholangiogram Surgery RD1-811
spellingShingle	Biliary pancreatitis Choledocholithiasis Intra-operative cholangiogram Surgery RD1-811 S Pradhan S Shah S Maharjan JN Shah Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
description	Introduction: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial. Objective of the study was to see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis. Methods: Patients admitted in the surgical ward in Patan Hospital and Bir Hospital with the diagnosis of mild acute biliary pancreatitis who underwent cholecystectomy with intra-operative cholangiography from August 2010 to July 2012 were studied. The outcome of cholangiogram was analyzed together with findings of common bile duct exploration. Results: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The common bile duct stone was found in 1.9%. Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration. Conclusion: The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 11-15
format	article
author	S Pradhan S Shah S Maharjan JN Shah
author_facet	S Pradhan S Shah S Maharjan JN Shah
author_sort	S Pradhan
title	Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
title_short	Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
title_full	Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
title_fullStr	Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
title_full_unstemmed	Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
title_sort	presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/c88610ff9cbb4114bced6b1121f2a65d
work_keys_str_mv	AT spradhan presenceofcholedocholithiasisinpatientsundergoingcholecystectomyformildbiliarypancreatitis AT sshah presenceofcholedocholithiasisinpatientsundergoingcholecystectomyformildbiliarypancreatitis AT smaharjan presenceofcholedocholithiasisinpatientsundergoingcholecystectomyformildbiliarypancreatitis AT jnshah presenceofcholedocholithiasisinpatientsundergoingcholecystectomyformildbiliarypancreatitis
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Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

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