Efficacy of Common Bile Duct Stenting on the Reduction in Gallstone Migration and Symptoms Recurrence in Patients with Biliary Pancreatitis Who Were Candidates for Delayed Cholecystectomy

Background In patients with severe biliary pancreatitis, delayed cholecystectomy associated with a high risk of recurrence is recommended. The current study aimed to evaluate the effect of common bile duct (CBD) stenting on reducing gallstones migration and recurrence of symptoms in patients with pa...

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Bibliographic Details
Published in:Digestive diseases and sciences 2022, Vol.67 (1), p.315-320
Main Authors: Hormati, Ahmad, Ghadir, Mohammad Reza, Alemi, Faezeh, Eshraghi, Mohsen, Dehghan, Khosro, Sarkeshikian, Seyed Saeid, Ahmadpour, Sajjad, Jabbari, Amir, Sivandzadeh, Gholam Reza, Mohammadbeigi, Abolfazl
Format: Article
Language:English
Subjects:
Bile ducts
Biochemistry
Care and treatment
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholangiopancreatography, Endoscopic Retrograde - instrumentation
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholecystectomy
Cholecystectomy - methods
Diseases
Endoscopy
Female
Gallstones
Gallstones - complications
Gallstones - diagnosis
Gallstones - physiopathology
Gallstones - surgery
Gastroenterology
Hepatology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Migration
Oncology
Original Article
Pancreatitis
Pancreatitis - diagnosis
Pancreatitis - etiology
Pancreatitis - prevention & control
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Prosthesis Implantation - adverse effects
Prosthesis Implantation - instrumentation
Prosthesis Implantation - methods
Relapse
Risk Adjustment - methods
Secondary Prevention - methods
Stent (Surgery)
Stents
Surgery
Time-to-Treatment
Transplant Surgery
Treatment Outcome
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Summary:Background In patients with severe biliary pancreatitis, delayed cholecystectomy associated with a high risk of recurrence is recommended. The current study aimed to evaluate the effect of common bile duct (CBD) stenting on reducing gallstones migration and recurrence of symptoms in patients with pancreatitis and delayed cholecystectomy candidates. Methods To this purpose, the randomized, controlled clinical trial was performed on 40 patients with biliary pancreatitis who were candidates for delayed cholecystectomy. Patients were randomly divided into two groups of A and B that underwent CBD stenting after ERCP and received endoscopic treatment without stenting, respectively. A checklist recorded demographics and complications. Group A was followed up after four weeks to remove the stent and record the complications. Group B underwent MRCP to examine the migration of new gallstones as well as the complications. Results Of the 40 patients, 20 subjects (11 males and 9 females) were allocated to each group, matched for demographic variables. In the one-month follow-up, only one subject in group A manifested symptoms of gallstone migration and recurrence, while in group B, recurrence was observed in 6 patients ( P  = 0.037). There was no significant difference in the success rate of ERCP and the incidence of complications between the two groups. Conclusion CBD stenting in patients with biliary pancreatitis and gallstone could reduce the risk of recurrence and remigration of gallstones in delayed cholecystectomy cases.
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-021-06904-8