|
KMID : 0381219920240030267
|
|
Journal of RIMSK
1992 Volume.24 No. 3 p.267 ~ p.276
|
|
|
Nonoperative management of Bile Duct Stones
|
|
|
|
|
Abstract
|
|
|
Although the most cases of gallstone disease are curable with initial operative procedures, but nearly 5% of cases are suffering from residual stone in bile duct system.
The causes of residual bile stones are over-looked inital operation and difficult surgical approach. The most cases of the residual stones are diagnosed with postoperative t-tube cholangiography, and some cases with ERCP or ultrasonography.
The clinical courses of residual stones are critical which followed by abdominal pain, fever and jaundice with high morbidity and mortality.
Surgical treatments of residucal stones are somewhat difficult in some cases because of difficult surgical technique and bile duct abnormal structures.
Because clinical status of residual bile stones are critical in some cases, it is very difficult for the residual stone patients to overcome surgical events.
With improvement of endoscopical technique and interventional radiology the residual stones with T-tube insertion status are managed by T-tube procedures with assisted by ESWL or LASER lithotriptor and the cases which t-tub insertion status are
managed
by endoscopic sphincteroctomy with stone removal.
I have a collective review of the indications and methods of nonoperative management of residual bile duct stones and its complication, herein.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|