BACKGROUND The frequency of residual common bile duct (CBD) stones in patients with previous cholecystectomy ranges from 2-10%, and a minimally invasive approach is generally recommended for these patients. This study reviews the experience in the management of residual CBD stones at the Aga Khan University Hospital. METHODS All adult patients diagnosed to have residual CBD stones, from 1993 ...

BACKGROUND Post- endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is the most common and most severe complication associated with diagnostic and therapeutic ERCP. A multivariate analysis of risk factors for PEP is essential for identifying patients at high risk and subsequently choosing other suitable diagnoses. METHODS Pertinent publications were identified through sy...

Editorial dealing with the protective action on biliary sphincterotomy complications given by type 2 diabetes mellitus.

History and definitions In 1681 Glisson described a sphincter at the end of the common bile duct, which allowed bile to flow intermittently into the duodenum.' Exactly 200 years later, Oddi portrayed the sphincteric mechanism in greater detail,2 but it was not until 1957 that Boyden unravelled the complexity ofthe anatomical sphincter surrounding the terminus of the common bile duct and pancrea...

context different approaches are routinely applied in the treatment of concomitant cholecystocholedocholithiasis. most patients are treated by preoperative endoscopic sphincterotomy followed by laparoscopic cholecystectomy in a two-stage approach. however one-stage approach carrying out intraoperative endoscopic sphincterotomy (ioes) is emerging as a minimally invasive alternative option. our r...

OBJECTIVES This study aims to compare the frequency of fecal incontinence and healing rate in patients treated with Open Internal Anal Sphincterotomy (OIAS) Closed Lateral (CLIAS). METHODOLOGY randomized control trial was carried out Department Surgery Hayatabad Medical Complex, Peshawar Pakistan from Feb 2019 2020. Eighty-four were assigned open method Group B while eighty-four allocated close...

S23 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 the absence of ascariasis. There were no complications. Results: EUS features were single or multiple linear hyperechoic structure without acoustic shadowing in the pancreas divisum with central anechoic tube representing alimentary canal of the worm. Live roundworms were removed from papilla without undertaking sphincterotomy. I...

S23 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 the absence of ascariasis. There were no complications. Results: EUS features were single or multiple linear hyperechoic structure without acoustic shadowing in the pancreas divisum with central anechoic tube representing alimentary canal of the worm. Live roundworms were removed from papilla without undertaking sphincterotomy. I...

Echinococcus granulosis commonly involve the liver and are mostly seen in Turkey . One of early complication following surgery for hydatid cyst is biliary leakage (B.L.) which’s incidence %4.5-26. Endoscopic sphincterotomy (E.S.) stenting usually successful treating B.L. In this case, I’m presenting endoscopic treatment after operation.

OBJECTIVE To evaluate the effectiveness of endoscopic balloon sphincteroplasty as an adjunct to endoscopic sphincterotomy in removing large and difficult bile duct stones. METHODS A prospective non-randomized descriptive study was conducted at the Endoscopic Service of Surgical Unit 4, Civil Hospital Karachi over a period of 2 years from February 2007 to January 2009. A total of 84 patients w...