Endoscopic management of symptomatic choledocholithiasis in pregnancy without the use of radiations.
نویسندگان
چکیده
We report a case of 26-year-old woman at 10th week of gestation with cholestatic jaundice due to a common bile duct (CBD) stone managed by endoscopical retrograde cholangiopancreatography (ERCP). The procedure was successfully carried out without the use of ionizing radiations and under trans-abdominal ultrasonographical (US) control. A few cases are reported in literature in which ERCP was performed without fluoroscopy examination. We believe that ERCP with US guidance is an effective and safe procedure to treat symptomatic choledocholithiasis in pregnant women.
منابع مشابه
Endoscopic Retrograde Cholangiopancreatography with Intraductal Ultrasound in Pregnancy without the Use of Radiation
Goals and background: Biliary disease in pregnancy presents unique challenges. Conservative treatment is associated with recurrent symptoms, and the use of radiographic imaging is limited because of the possibility of fetal exposure. The aim of our study was to evaluate the use of intraductal ultrasound (IDUS) in nonradiation ERCP (ERCP-NR) to treat pregnant women with symptomatic choledocholit...
متن کاملEvaluation of ASGE Criteria for Prediction of Choledocholithiasis: Can Early Endoscopic Ultrasound Utilization Make the Prediction More Accurate?
Background: ASGE predictive model for the detection of choledocholithiasis is a reasonable approach for the management of patients with cholelithiasis. Surgeons do not pursue cholecystectomy without evaluation of the biliary system when laboratory tests and diagnostic imaging evidence show biliary duct involvement. Literature revisions reveal that the prediction of choledocholithiasis based on ...
متن کاملTwo stage endoscopic approach for management of choledocholithiasis during pregnancy.
BACKGROUND AND AIM Management of choledocholithiasis during pregnancy is difficult. The aim of this study was to evaluate the safety and efficacy of managing common bile duct (CBD) stones during pregnancy using a two-stage procedure without any fetal radiation exposure. PATIENTS AND METHODS Eleven consecutive pregnant women treated endoscopically for choledocholithiasis between 1996-2005, at ...
متن کاملIs there a role for routine preoperative endoscopic retrograde cholangiopancreatography for suspected choledocholithiasis in children?
HYPOTHESIS Endoscopic retrograde cholangiopancreatography (ERCP) is frequently used preoperatively in adult patients with suspected choledocholithiasis. Cholelithiasis occurs much less often in children, and the indications for ERCP are not established. We hypothesized that the natural history of choledocholithiasis in children is spontaneous passage of stones through the papilla and that these...
متن کامل[Choledocholithiasis and pregnancy. Hybrid laparo-endoscopic treatment in one step].
BACKGROUND Complications associated with choledocholithiasis are uncommon during pregnancy. However, when it occurs, the morbidity and mortality related for the product and the mother increases, so a proper treatment is imperative in these patients. CLINICAL CASE A 25-year-old pregnant woman on her second trimester. The current condition was started four days prior to the hospital admission w...
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عنوان ژورنال:
- European review for medical and pharmacological sciences
دوره 11 5 شماره
صفحات -
تاریخ انتشار 2007