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Spontaneous passage of gallbladder calculi--facilitation by endoscopic sphincterotomy.
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MedLine Citation:
PMID:  9830577     Owner:  NLM     Status:  MEDLINE    
After endoscopic sphincterotopy (ES) gallbladder motility increases leading to expulsion of crystals and stones. But this is not a universal phenomenon. We evaluated cholangiographic findings in patients emptying their gallbladder after ES for common bile duct (CBD) stones. Cholangiographic features of twenty patients expelling gallbladder calculi after ES were studied. Controls included 20 age and sex matched patients with gallstones and CBD stones, who did not expel gallstones after ES. Of 20 cases in study group, 9 recovered more than 20 stones each in the stool within 7 days of ES. Repeat ERCP showed empty gallbladder in all, whereas CBD was full of stones in 11 of the 20 cases. In the study group, low insertion of the cystic duct was more common (10 vs 0, p < 0.04), the cystic duct made a narrow angle (20 +/- 5 degrees vs 50 +/- 10 degrees, p < 0.04) with CBD before insertion and cystic duct diameter was higher (5 mm vs 2.5 mm, p < 0.04) as compared to controls. We conclude that in patients undergoing ES with intact gallbladder and small gallbladder calculi, spontaneous emptying of gallbladder calculi occurs, if cystic duct is wider, has low insertion and makes narrow angle with CBD before insertion.
B C Sharma; D K Agarwal; S S Baijal; V A Saraswat
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  HPB surgery : a world journal of hepatic, pancreatic and biliary surgery     Volume:  11     ISSN:  0894-8569     ISO Abbreviation:  HPB Surg     Publication Date:  1998  
Date Detail:
Created Date:  1999-01-28     Completed Date:  1999-01-28     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9002972     Medline TA:  HPB Surg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  23-6     Citation Subset:  IM    
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
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MeSH Terms
Cholangiography / statistics & numerical data
Cholelithiasis / radiography,  surgery*
Cystic Duct / radiography
Gallstones / radiography,  surgery
Middle Aged
Sphincterotomy, Endoscopic* / instrumentation,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Full Text
Journal Information
Journal ID (nlm-ta): HPB Surg
ISSN: 0894-8569
ISSN: 1607-8462
Publisher: Hindawi Publishing Corporation
Article Information
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Copyright ? 1998 Hindawi Publishing Corporation.
open-access: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 2 Month: 1 Year: 1996
Accepted Day: 15 Month: 5 Year: 1997
Print publication date: Month: 8 Year: 1998
Volume: 11 Issue: 1
First Page: 23 Last Page: 26
ID: 2423923
PubMed Id: 9830577
Publisher Item Identifier: S0894856998638236
DOI: 10.1155/1998/63823

Spontaneous Passage of Gallbladder Calculi-Facilitation by Endoscopic Sphincterotomy
B. C. Sharma12
D. K. Agarwal1
S. S. Baijal1
V. A. Saraswat1
1Departments of Gastroenterology and RadiologySanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia
2591, Sector 2PanchkulaIndia

Article Categories:
  • Research Article

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