We have endoscopically treated a total of 114 cases, mainly having biliary tract stones, since May, 1976. The techniques we employed were endoscopic sphincterotomy (EST), percutaneous transhepatic choledochoscopic lithotomy (PTCL) and postoperative choledochoscopic lithotomy (POCL), which were per formed in 75, 33 and 6 cases, respectively. Some of the patients had residual recurrent bile duct ...

BACKGROUND/PURPOSE While endoscopic sphincterotomy (EST) is performed worldwide for the removal of common bile duct stones, many biliary endoscopists hesitate to regard endoscopic papillary balloon dilation (EPBD) as a standard procedure for treatment. Therefore, the aim of this review is to re-evaluate the status of EPBD for the treatment of common bile duct stones. RESULTS A major benefit o...

The role of biliary deoxycholate as an endogenous colon carcinogen and the possible association between cholelithiasis and/or cholecystectomy and the subsequent development of large bowel cancer is unclear. This paper describes biliary bile acids analysis performed on 13 patients undergoing cholecystectomy for gall stones, 10 patients undergoing colonic resection for colon cancer, and eight con...

BACKGROUND To date, the management of common bile duct stones (CBDs) is still controversial. If laparoscopic exploration is performed and biliary decompression is needed after stone removal, the placement of a laparoscopic transpapillary stent shows promising results in avoiding T-tube-related complications. METHODS Between January 2007 and May 2012, a series of 48 patients who underwent bili...

Altered motility of the gallbladder can result in gallstone and cholecystitis, which are important risk factor for biliary tract cancer. Motilin (MLN) and somatostatin (SST) are known important modulators of gallbladder motility. To determine whether genetic variants in motilin, somatostatin, and their receptor genes are associated with the risk of biliary tract cancers and stones, nine tag-SNP...

Gastrointestinal parasites, although an uncommon cause of biliary and pancreatic problems in western medicine, can produce fatal complications. A Swiss patient presented with acute pancreatitis, with no evidence of gall stones or history of alcohol abuse. He died after a short fulminant illness. At necropsy, an Ascaris lumbracoides was found impacted within the ampulla of Vater and serves as a ...

Conventionally, choledocholithiasis is managed by endoscopic retrograde cholangiopancreatography (ERCP), and it accounts for at least 50% of the approximately 52000 ERCPs performed in the UK each year [1–5]. Bile duct stone clearance traditionally involves the performance of ERCP with biliary sphincterotomy (or sphincteroplasty), followed by the removal of stones from the biliary tree using an ...

Gallstones are classified into three types based on their composition as cholesterol, pigment and mixed stones, with each type having different epidemiology and risk factors. Additionally, each type of these stones is formed in a different site. Cholesterol stones and pigment stones are predominantly found in the gall bladder and bile canaliculi of liver respectively, while mixed stones occur a...

Biliary fistulas are rare complications of gallstone. They can affect either the biliary or the gastrointestinal tract and are usually classified as primary or secondary. The primary fistulas are related to the biliary lithiasis, while the secondary ones are related to surgical complications. Laparoscopic surgery is a therapeutic option for the treatment of primary biliary fistulas. However, it...

aim : this study was performed to compare the efficacy of preoperative magnetic resonance cholangiopancreatography (mrcp) and intra-operative cholangiography (ioc) methods in patients suspicious to gall stones. background : according to previous studies, it is recommended that common bile duct investigation should be done in order to rule out choledocholithiasis in all patients with symptomatic...