Endoscopic stenting for large common duct stones in patients with acute cholangitis

A. E. Ismael, C. W. Lai, J. J Y Sung, S. S C Chung, Joseph Leung

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Twenty-eight high risk patients with acute cholangitis due to large common bile duct stones underwent endoscopic stenting for biliary drainage. Seventeen patients were subsequently readmitted for stone extraction after a mean interval of 4 months, 13 on an elective basis and 4 because of recurrent cholangitis. Six patients were noted to have spontaneous reduction in stone size and two had complete stone disintegration. Endoscopic stone extraction was successful in 15 patients. Two patients in whom the stone extraction failed had their stents changed. Two patients died of nonbiliary related causes. The remaining patients were asymptomatic during a follow up period of 4 to 19 months. Endoscopic stenting provides effective temporary drainage for acute cholangitis. Elective stone extraction can be performed when sepsis is controlled. In elderly high risk patients, stenting can be used as a definitive treatment for large common duct stones.

Original languageEnglish (US)
Pages (from-to)45-48
Number of pages4
JournalDigestive Endoscopy
Volume6
Issue number1
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Endoscopic stenting for large common duct stones in patients with acute cholangitis'. Together they form a unique fingerprint.

  • Cite this

    Ismael, A. E., Lai, C. W., Sung, J. J. Y., Chung, S. S. C., & Leung, J. (1994). Endoscopic stenting for large common duct stones in patients with acute cholangitis. Digestive Endoscopy, 6(1), 45-48.