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Cannulation of the Portal Vein during Endoscopic Retrograde Cholangiopancreatography in a Patient with Choledocholithiasis

Lee WD, Song JS, Kim BS, Yang MA, Lee YJ, Jung GM, Cho YK, Cho JW, Kim JW

Cannulation of the portal vein is a rare complication of ERCP. This paper reports a case of portal vein catheterization during ERCP in a patient with choledocholithiasis. A 62-year-old man...
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Bile Microbiota in Patients with Pigment Common Bile Duct Stones

Kim B, Park JS, Bae J, Hwang N

Background: Common bile duct (CBD) stone is one of the most prevalent gastroenterological diseases, but the role played by biliary microbiota in the pathogenesis of CBD stones remains obscure. The...
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Need to identify the risk factor for stone recurrence after common bile duct exploration

Kim KH

Choledocholithiasis and cholecystitis are among the most common surgical conditions in the hepatopancreato-biliary section. The recurrence of common bile duct (CBD) stones is considered an unsolved problem after cholecystectomy. In...
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Recent advances in the management of difficult bile-duct stones: a focus on single-operator cholangioscopy-guided lithotripsy

Oh CH, Dong SH

The most effective and the standard treatment for bile duct stones (BDSs) is endoscopic retrograde cholangiopancreatography (ERCP). However, in 10% to 15% of patients with BDSs, the stones cannot be...
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Evaluating the Revised American Society for Gastrointestinal Endoscopy Guidelines for Common Bile Duct Stone Diagnosis

Jacob JS, Lee ME, Chew EY, Thrift AP, Sealock RJ

Background/Aims: The American Society for Gastrointestinal Endoscopy (ASGE) revised its guidelines for risk stratification of patients with suspected choledocholithiasis. This study aimed to assess the diagnostic performance of the revision...
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A potential intraoperative disaster averted: Preduodenal portal vein compressing a preduodenal common bile duct

Kumar A, Pandey M

Familiarity with the anatomy is paramount for conduct of safe surgery for a surgeon. Anomalies with the biliary and hepatic arterial system are common but portal vein anomalies are least...
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What is the better surgical treatment option for recurrent common bile duct stones?

Park CY, Choi SH, Kwon CI, Cho JH, Jang SI, Lee TH, Han JH, Jeong S, Ko KH

Purpose: Repeating endoscopic retrograde cholangiopancreatography (ERCP) in patients with recurrent common bile duct (CBD) stones is problematic in many ways. Choledochoduodenostomy (CDS) and choledochojejunostomy (CJS) are 2 surgical treatment options...
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Removal of a Large, Intractable Common Bile Duct Stone by Direct Peroral Cholangioscopy Using Upper Gastrointestinal Endoscopy and Polypectomy Snare

Heo J, Jung MK

ERCP is the standard treatment for common bile duct stones. On the other hand, 10-15% of cases involve intractable common bile duct stones, which cannot be treated by conventional biliary...
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Clinical Impact of Common Bile Duct Angulation on the Recurrence of Common Bile Duct Stone: A Meta-analysis and Review

Ryu S, Jo IH, Kim S, Kim YJ, Chung WC

Background/Aims: Local and systemic factors, such as diabetes, obesity, and hyperlipidemia, are considered risk factors for the recurrence of choledocholithiasis after successful endoscopic clearance. Local factors include the presence of...
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Epidemiology and disease characteristics of symptomatic choledocholithiasis in Sri Lanka

De Silva W, Pathirana , Wijerathne TK, Gamage BD, Dassanayake BK, De Silva M

BACKGROUNDS/AIMS: Published data on choledocholithiasis in Sri Lanka is scarce. This study was conducted to determine epidemiological, clinical and endoscopic characteristics of choledocholithiasis in Sri Lanka. METHODS: This was a retrospective...
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Endoscopic Papillary Balloon Dilation/Endoscopic Papillary Large Balloon Dilation

Jeong S

Endoscopic papillary balloon dilation (EPBD) and endoscopic papillary large balloon dilation (EPLBD) have been performed all around the world over several decades for the treatment of common bile duct stone....
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Endoscopic Sphincterotomy, Balloon Stone Extraction, and Basket Stone Extraction

Jang SI, Lee DK

Endoscopic sphincterotomy is performed after selective cannulation to remove the gallstone. Endoscopic sphincterotomy can cause complications such as bleeding, perforation and pancreatitis. Various types of endoscopic sphincter incision method and...
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Evaluation of Patients Suspected of Common Bile Duct Stone

Yoon JH

Common bile duct stones (CBDS) are estimated to be present in 10–20% of individuals with symptomatic gallstones. Most patients with gallstones remain asymptomatic throughout their lifetime, but 10–25% of them...
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Single-Stage Endoscopic Stone Extraction and Cholecystectomy during the Same Hospitalization

Terauchi T, Shinozaki , Shinozaki , Sasakura Y, Kimata M, Furukawa J, Lefor AK, Ogata Y, Kobayashi

BACKGROUND/AIMS: The clinical impact of single-stage endoscopic stone extraction by endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy during the same hospitalization remains elusive. This study aimed to determine the efficacy and...
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Balloon catheter cannulation for route identification and axis stabilization during direct freehand cholangioscopy

Zimmer V

Freehand techniques for direct cholangioscopy access have received little attention, given disappointing initial results and high perceived and/or real technical challenges. However, while pure freehand intubation appears feasible in a...
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Gallbladder stones in bariatrics and management of choledocholithiasis after gastric bypass

Palermo M, Neto MG

It is known that the rapid weight loss is a predisposing factor to develop biliary lithiasis. The physiopathology is related with an oversaturation of bile with cholesterol, bile stasis, and...
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Clinical Practice Guideline for Common Bile Duct Stones: Diagnosis and Treatment

Jang SI, Lee DK

Common bile duct (CBD) stone is a biliary disease with an increasing incidence in Korea. Many advances have been made in diagnosis and treatment according to the development of imaging...
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Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct

Kim YA, Kim GM, Chun P, Hwang EH, Mun SW, Lee YJ, Park JH

PURPOSE: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation. METHODS: The treatment outcomes in children...
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The Management of Common Bile Duct Stones

Park CH

Common bile duct (CBD) stone is a relatively frequent disorder with a prevalence of 10-20% in patients with gallstones. This is also associated with serious complications, including obstructive jaundice, acute...
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Role of Magnetic Resonance Cholangiopancreatography in Evaluation of Choledocholithiasis in Patients with Suspected Cholecystitis

You MW, Jung YY, Shin JY

PURPOSE: To determine the role of magnetic resonance cholangiopancreatography (MRCP) in evaluation of choledocholithiasis in patients with suspected cholecystitis. MATERIALS AND METHODS: A total of 78 patients (mean age: 66.06 ±...
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