Article
Surgery
Sakir Karpuz, Wafi Attaallah
Summary: This study aimed to determine the rate of patients without symptoms during the follow-up period after endoscopic retrograde cholangiopancreaticography (ERCP) for choledocholithiasis. The majority of patients who did not undergo cholecystectomy after ERCP remained asymptomatic during the follow-up period, suggesting that cholecystectomy may be unnecessary within a midterm period.
ASIAN JOURNAL OF SURGERY
(2021)
Review
Medicine, General & Internal
Quanxin Liu, Tao Li, Zhangdong Feng, Wei Han
Summary: This study aims to compare the medium and long-term complications between EST and LTCBDE in treating CBDS, in order to systematically evaluate the differences between the two methods.
Article
Gastroenterology & Hepatology
Tatsuya Ishii, Toshifumi Kin, Hajime Yamazaki, Kazuki Hama, Risa Nakamura, Kosuke Iwano, Ryo Ando, Haruka Toyonaga, Takao Shimizu, Tsuyoshi Hayashi, Kuniyuki Takahashi, Akio Katanuma
Summary: This retrospective study analyzed patients with distal biliary obstruction who underwent covered self-expandable metal stent (CSEMS) placement. It was found that acute cholecystitis was more common after CSEMS placement. Endoscopic gallbladder stent placement (EGBS) before CSEMS placement was shown to be effective in preventing cholecystitis associated with CSEMS.
GASTROINTESTINAL ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Sakue Masuda, Kazuya Koizumi, Kento Shionoya, Ryuhei Jinushi, Makomo Makazu, Takashi Nishino, Karen Kimura, Chihiro Sumida, Jun Kubota, Chikamasa Ichita, Akiko Sasaki, Masahiro Kobayashi, Makoto Kako, Uojima Haruki
Summary: Common bile duct stones are a common condition encountered by endoscopists. While there is extensive research in this field, some areas lack sufficient evidence, such as indications for certain procedures and safety considerations. This review comprehensively summarizes standard methods and new findings from recent studies on various aspects of the treatment of common bile duct stones.
WORLD JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Surgery
Qiang Ye, Jin Zhang, Xilong Ou, Xiaoying Zhou, Chang Zhu, Wenjie Li, Jun Yao, Guoxin Zhang
Summary: This study compares the efficacy and safety of EST, EPBD, and ESBD in extracting small CBD stones. The results show that EPBD is equivalent to ESBD in stone removal efficiency and complication rate, but has a lower risk of bleeding. Therefore, EPBD is recommended as the first choice for small CBD stones.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Jisheng Zhu, Guoyong Li, Peng Du, Xin Zhou, Weidong Xiao, Yong Li
Summary: The study compared the efficacy and safety of LCBDE + LC with IO-ERCP + LC for the treatment of gallbladder and CBD stones, finding no significant difference in technical success, morbidity, major morbidity, and conversion rate. However, LCBDE + LC had a higher biliary leak rate, lower postoperative pancreatitis rate, and higher rate of retained stones compared to IO-ERCP + LC.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Xiao-Xiao Huang, Jia-Yi Wu, Yan-Nan Bai, Jun-Yi Wu, Jia-Hui Lv, Wei-Zhao Chen, Li-Ming Huang, Rong-Fa Huang, Mao-Lin Yan
Summary: LCBDE is a safe and feasible treatment option for choledocholithiasis patients with small CBD, as it does not increase postoperative bile leak rate compared to patients with large CBD. The study also found no significant difference in the rate of CBDS recurrence between small CBD and large CBD patients. These results provide valuable insights for choosing appropriate treatment methods.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Article
Medicine, General & Internal
Jung-Hye Choi, Tae-Yoon Lee, Young-Koog Cheon
Summary: Biliary stenting after the removal of CBD stones reduces the stone recurrence rate and assists in recovery. Preventive biliary stent insertion can also reduce the rate of stone recurrence in patients with large and multiple stones undergoing lithotripsy.
KOREAN JOURNAL OF INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Hidehiro Kamezaki, Terunao Iwanaga, Takahiro Maeda, Jun-ichi Senoo, Dai Sakamoto, Shin Yasui, Harutoshi Sugiyama, Toshio Tsuyuguchi, Naoya Kato
Summary: This retrospective cohort study evaluated and compared the long-term effects of endoscopic papillary large balloon dilation (EPLBD) and mechanical lithotripter use in treating challenging common bile duct stones. The study found that the EPLBD group had a lower recurrence rate, better treatment efficacy, and did not increase the rate of adverse events compared to the mechanical lithotripter group.
Article
Gastroenterology & Hepatology
Yoichi Takimoto, Atsushi Irisawa, Koki Hoshi, Akira Yamamiya, Kazunori Nagashima, Takahito Minaguchi, Akane Yamabe, Naoya Izawa, Yasuo Haruyama, Keiichi Tominaga
Summary: The study clarified the relation between incision size for endoscopic sphincterotomy (EST) and common bile duct stone (CBDS) recurrence, finding that medium incision size was associated with a lower recurrence rate compared to small incision size in EST.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2022)
Article
Surgery
Ryo Sugiura, Hideaki Nakamura, Shoichi Horita, Takashi Meguro, Kiyotaka Sasaki, Hidetoshi Kagaya, Tatsuya Yoshida, Hironori Aoki, Takayuki Morita, Miyoshi Fujita, Eiji Tamoto, Masayuki Fukushima, Yoshitomo Ashitate, Takashi Ueno, Akio Tsutaho, Masaki Kuwatani, Naoya Sakamoto
Summary: This study evaluated the incidence of postoperative common bile duct stones (CBDS) after endoscopic CBDS extraction and subsequent cholecystectomy, and found that the incidence of postoperative CBDS was relatively high. Therefore, patients with predictive factors for postoperative CBDS should undergo imaging tests or additional endoscopic procedures after cholecystectomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Keito Nakagawa, Saburo Matsubara, Kentaro Suda, Takeshi Otsuka, Masashi Oka, Sumiko Nagoshi
Summary: The intraductal placement of dumbbell-shaped FCSEMS (D-SEMS) for post-cholecystectomy bile leaks is a safe and effective treatment option, even in refractory cases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Li Huang, Xiaoyan Lu, Xu Huang, Xiaoping Zou, Lianlian Wu, Zhongyin Zhou, Deqing Wu, Dehua Tang, Dingyuan Chen, Xinyue Wan, Zhongchao Zhu, Tao Deng, Lei Shen, Jun Liu, Yijie Zhu, Dexin Gong, Di Chen, Yanfei Zhong, Feng Liu, Honggang Yu
Summary: An intelligent difficulty scoring and assistance system (DSAS) based on deep learning was developed to assist endoscopists in scoring the technical difficulty of CBD stone extraction and guiding the choice of therapeutic approach and appropriate accessories during ERCP. The performance of the DSAS was superior to nonexpert endoscopists and more consistent with expert endoscopists. DSAS assessment scores >= 2 were correlated with lower stone clearance rates and more frequent EPLBD.
Article
Multidisciplinary Sciences
Chote Wongkanong, Jayanton Patumanond, Thawee Ratanachu-ek, Sunhawit Junrungsee, Apichat Tantraworasin
Summary: A simplified scoring system was developed to predict the difficulty of CBD stone removal in clinical practice, which can assist endoscopists in making treatment decisions. Retrospective cohort data was collected and analyzed using multivariable logistic regression. The scoring system based on risk factors showed good prediction performance and was internally validated.
Review
Surgery
Caining Lei, Tingting Lu, Wenwen Yang, Man Yang, Hongwei Tian, Shaoming Song, Shiyi Gong, Jia Yang, Wenjie Jiang, Kehu Yang, Tiankang Guo
Summary: In comparing LC-IntraERCP and LC-LCBDE, there were no significant differences in terms of surgical success rate, overall postoperative complications, conversion to laparotomy, and operative time. However, LC-IntraERCP may be more effective in reducing the rate of retained stones.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
