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Surg Endosc 2020 Jul 1. Epub 2020 Jul 1.

Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm, Sweden.

Background: Common bile duct stone (CBDS) is a common condition the rate of which increases with age. Decision to treat in particular elderly and frail patients with CBDS is often complex and requires careful assessment of the risk for treatment-related cardiovascular complications. The aim of this study was to compare the rate of postoperative cardiovascular events in CBDS patients treated with the following: ERCP only; cholecystectomy only; cholecystectomy followed by delayed ERCP; cholecystectomy together with ERCP; or ERCP followed by delayed cholecystectomy. Read More

J Ultrason 2020 15;20(81):e100-e105. Epub 2020 Jun 15.

Department of Radiology, Union Diagnostics and Clinic Services Plc , Yaba, Lagos , Nigeria.

To determine the sensitivity and specificity of ultrasound for detecting the causes of obstructive jaundice. Eighty adult patients with clinical and biochemical features of obstructive jaundice were enrolled in this study. The causes, degrees and levels of ductal obstruction were evaluated sonographically via the transabdominal route. Read More

Sisli Etfal Hastan Tip Bul 2018 21;52(2):92-96. Epub 2018 May 21.

Department of General Surgery, Kanuni Sutan Suleyman Training and Research Hospital, Istanbul, Turkey.

Objectives: Gallbladder stones are the most frequently reported etiology of acute pancreatitis in pregnancy and are often diagnosed in the third trimester. This condition is associated with both mother and infant morbidity and mortality, and its treatment remains controversial.

Methods: Relevant patient data between September 2010 and April 2017 from the Kanuni Sultan Suleyman Training and Research Hospital were analyzed regarding etiology (of gallstone pancreatitis), trimester of pregnancy, diagnostic tools, pancreatitis stage, clinical status, medical treatment, surgical interventions, and pregnancy status. Read More

Endoscopy 2020 Jun 29. Epub 2020 Jun 29.

Regional University Hospital of Nancy, Hepato-Gastroenterology Department, Vandoeuvre-les-Nancy, France.

Introduction: The aims of this retrospective multicentre study were to assess the technical success and adverse events of ERCP procedures in children in French and Belgian centres.

Methods: All children aged one day to seventeen years who underwent ERCP between January 2008 and March 2019 in 15 tertiary care hospitals were retrospectively included.

Results: 271 children underwent 470 ERCP procedures. Read More

Endoscopy 2020 Jul 24;52(7):531-532. Epub 2020 Jun 24.

Department of Gastroenterology and Endoscopy, Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Marseille, France.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa147. Epub 2020 Jun 15.

Department of General Surgery, Hitit University Medical School, Turkey.

Extrahepatic bile duct duplication is a rare biliary anomaly often associated with conditions like cholecysto-choledocholithiasis, choledochal cyst and malignancy. Precise preoperative diagnosis using conventional radiologic imaging still remains a challenge and use of existing classification system is equally confusing. A female patient diagnosed with choledochal cyst by magnetic resonance cholangiopancreatography was found to have an associated new variant of double common bile duct during surgery. Read More

Dig Liver Dis 2020 Jun 15. Epub 2020 Jun 15.

Department of Gastroenterology, GB Pant Hospital, New Delhi 110002, India.

Rev Esp Enferm Dig 2020 Jun 16;112. Epub 2020 Jun 16.

Aparato Digestivo, Complexo Hospitalario Universitario A Coruña.

Background: biliary complications are an important cause of morbidity and mortality after liver transplantation. Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic option, which is less invasive than surgical management.

Materials And Methods: the endoscopic management with ERCP of patients with biliary complications after liver transplantation in the Complexo Hospitalario Universitario de A Coruña between 2012 and 2018 was reviewed. Read More

Rev Esp Enferm Dig 2020 Jun 16;112. Epub 2020 Jun 16.

Gastroenterology, Hospital Professor Doutor Fernando Fonseca.

The low-phospholipid-associated cholelithiasis (LPAC) syndrome is a form of symptomatic and recurring cholelithiasis occurring in young adults, associated with mutations in the ABCB4 gene. It is a clinical syndrome characterized by at least two of the following criteria: age at onset of biliary symptoms below 40 years, intrahepatic echogenic foci or microlithiasis and recurrence of biliary symptoms after cholecystectomy. In the rare cases progressing to end-stage liver disease, a liver transplant may be indicated. Read More

Cureus 2020 May 14;12(5):e8116. Epub 2020 May 14.

Geriatrics, MedStar Franklin Square Medical Center, Baltimore, USA.

A biloma is an intrahepatic or extrahepatic encapsulated collection of bile outside of the biliary tree and within the abdominal cavity. Hepatobiliary interventions and laparoscopic cholecystectomy are the most common etiologies of biloma followed by abdominal trauma, choledocholithiasis, and biliary dilation secondary to biliary stricture. We report a case of a 91-year-old female who presented to the emergency room with an acute onset of epigastric and right upper quadrant sharp pain for one day that radiated to the back, and was associated with two to three episodes of vomiting. Read More

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620934680

Augusta University Medical Center, Medical College of Georgia, Augusta, GA, USA.

Choledochoduodenal fistula (CDF) is an abnormal communication between the common bile duct and the duodenum. It accounts for about 5% to 25% of the total biliary fistulas and is usually due to a perforated duodenal ulcer, choledocholithiasis, and complications secondary to tuberculosis or could be iatrogenic. Primary intrabilliary tumors usually cause obstructive jaundice and rarely biliary metastasis arising from other organs like colon, breast, and lungs can cause obstructive jaundice. Read More

Ann R Coll Surg Engl 2020 Jun 15:1-6. Epub 2020 Jun 15.

Torbay Hospital, Torquay, Devon, UK.

Introduction: Common bile duct stones are present in 10% of patients with symptomatic gallstones. One-third of UK patients undergoing cholecystectomy will have preoperative ductal imaging, commonly with magnetic resonance cholangiopancreatography. Intraoperative laparoscopic ultrasound is a valid alternative but is not widely used. Read More

ANZ J Surg 2020 Jun 13. Epub 2020 Jun 13.

Upper GI Surgery Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.

Background: The true incidence of unsuspected choledocholithiasis found during laparoscopic cholecystectomy (LC) is unknown. Untreated 'silent' stones may be associated with significant long-term risks. The aim of this study was to establish the incidence of unsuspected common bile duct stones (CBDS) and to determine the management and associated risk factors for unsuspected CBDS. Read More

JGH Open 2020 Jun 15;4(3):394-399. Epub 2019 Oct 15.

Department of Gastroenterology Kumamoto Chuo Hospital Kumamoto City Kumamoto Japan.

Background And Aims: Papillary treatment, such as endoscopic sphincterotomy or endoscopic papillary balloon dilation, and subsequent single-stage endoscopic stone removal are often performed for choledocholithiasis; however, the incidence of postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is unclear. This study aimed to compare the overall incidence of PEP between single- and two-stage stone removal groups and the incidence of PEP between these two groups based on cannulation time.

Methods: We included 897 patients with native papilla who underwent papillary treatment and stone removal for choledocholithiasis with no inflammation or mild-to-moderate acute cholangitis at three institutions between April 2012 and March 2018 in Japan. Read More

J Coll Physicians Surg Pak 2020 04;30(4):435-437

Department of General Surgery, University of Medical Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

Endoscopic retrograde cholangiopancreatography may fail to extract large and multiple choledochal stones in a single session, necessitating a repeat procedure. This paper presents the case of a 68-year female patient who underwent stone extraction following endoscopic retrograde cholangiopancreatography and a subsequent biliary stenting procedure for multiple choledochal stones. Cholelithiasis and choledocholithiasis were detected in the above patient presenting with abdominal pain and jaundice. Read More

Gastroenterology 2020 Jun 3. Epub 2020 Jun 3.

City Hospital Waid and Triemli, Visceral Surgery Unit, Tiechestrasse 99, CH-8037 Zuerich, Switzerland.

Rev Esp Enferm Dig 2020 Jun 4;112. Epub 2020 Jun 4.

Cirugía General y del Aparato Digestivo, Hospital de Hellín, España.

Introduction: choledocholithiasis can be primary from stones originally formed in the choledocho or secondary from stones that have migrated from the gallbladder to the choledocho. The objective of this study was to determine the clinical differences between both types of choledocholithiasis in cholecystectomy patients.

Material And Methods: a comparative and retrospective study was performed of cholecystectomy patients who presented choledocholithiasis. Read More

Rev Esp Enferm Dig 2020 Jun;112(6):507-508

Biliary and Minimally Invasive Surgery, China Medical University Shengjing Hospital Shenyang.

We read the article published in the Spanish Journal of Gastroenterology and its accompanying editorial about the laparoscopic treatment of both cholecystolithiasis and choledocholithiasis in a single stage procedure. We would like to make some comments. Common bile duct (CBD) stones can lead to serious complications such as cholangitis and pancreatitis. Read More

Pak J Med Sci 2020 May-Jun;36(4):652-656

Syed Omair Adil, Lecturer, School of Public Health, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To evaluate the diagnostic accuracy of ultrasound in obstructive jaundice taking MRCP as gold standard.

Methods: This cross-sectional study was conducted at Dow Institute of Radiology (DIR), Dow University of Health Sciences (DUHS), Karachi from 2 May 2018 till 2 November 2018. Both male and female patients aged 30 to 80 years with suspected obstructive jaundice were included. Read More

Endosc Int Open 2020 Jun 25;8(6):E805-E808. Epub 2020 May 25.

Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is one of the most challenging endoscopic procedures. Although single- or double-balloon endoscopes have been widely used, reaching the papilla of Vater (hepaticojejunostomy/pancreaticojejunostomy site) is often difficult. For patients in whom treatment cannot be completed in a single session, we placed endoscopic nasobiliary drainage (ENBD) at the end of the procedure; in the second session, the scope was inserted following ENBD placement. Read More

Surg Infect (Larchmt) 2020 May 29. Epub 2020 May 29.

Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Gallstones and cholecystitis are common clinical problems. There is a wide spectrum of disease severity, from rare symptoms of biliary colic to severe cholecystitis with marked gallbladder infection and inflammation that can cause life-threatening sepsis. The care of such patients is similarly varied and multi-disciplinary. Read More

Surgery 2020 Jul 26;168(1):62-66. Epub 2020 May 26.

Department of Surgery, Emory University School of Medicine, Atlanta, GA; Emory Department of Surgery, Grady Memorial Hospital, Atlanta, GA.

Background: We sought to prospectively identify risk factors for biliary complications and 30-day readmission after cholecystectomy for choledocholithiasis and gallstone pancreatitis across multiple US hospitals.

Methods: We performed a prospective, observational study of patients who underwent same admission cholecystectomy for choledocholithiasis and gallstone pancreatitis between 2016 and 2019 at 12 US centers. Patients with prior history of endoscopic retrograde cholangiopancreatography or diagnosis of cholangitis were excluded. Read More

Minerva Chir 2020 May 26. Epub 2020 May 26.

Department of Surgery, Changxing County Hospital, Huzhou, Zhejiang, China -

Background: The purpose of this study was to investigate the effect of a simple laparoscopic common bile duct exploration (LCBDE) simulator and corresponding practicing program on the application of performing LCBDE in a low volume center.

Methods: A retrospective review was performed by analyzing data from the electronic medical record for 4118 patients with choledocholithiasis in Changxing County Hospital (Huzhou, Zhejiang, China) between January 2013 and December 2018. From January 2016, we have developed a simple LCBDE-specific simulator and corresponding practicing program in our hospital. Read More

Medicina (Kaunas) 2020 May 20;56(5). Epub 2020 May 20.

Riga East Clinical University Hospital, LV 1038 Riga, Latvia.

Opinions differ regarding the optimal diagnostic methods for patients with suspected choledocholithiasis. The aim of this study was to assess the diagnostic accuracy of laparoscopic ultrasonography (LUS) and compare it to pre-operative magnetic resonance cholangio-pancreatography (MRCP); In all patients with suspected choledocholithiasis LUS was performed during laparoscopic cholecystectomy to evaluate biliary stones. According to availability, part of the patients had pre-operative MRCP. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):396-404

Department of General Surgery, University of Health Sciences Gülhane Training and Research Hospital, Ankara-Turkey.

Background: There is no consensus on the optimal timing for laparoscopic cholecystectomy (LC) after emergent endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis. Although certain data suggest that an early interval or single-stage treatment by LC, together with laparoscopic bile duct exploration, has more favorable outcomes, delayed LC is most often preferred as the standard treatment of patients with gallstones and choledocholithiasis following ERCP due to lack of experience, necessary instrumentation, or organizational restrictions. This study aims to compare the effects of different time intervals between ERCP and LC on perioperative outcomes. Read More

Ann Med Surg (Lond) 2020 Jun 5;54:101-105. Epub 2020 May 5.

PGY4 General Surgery Resident, UCE, Quito, Ecuador.

Background: Situs inversus totalis is a rare genetic condition characterized by the transposition of organs to the opposite side of the body, consequently, clinical syndromes show an atypical clinical picture creating a challenge for the surgery team and predisposing to delays in treatment and diagnosis. Laparoscopic cholecystectomy is the gold standard for acute cholecystitis, and in patients with situs inversus, the laparoscopic technique must be modified to accommodate the patient's anatomy.

Case Presentation: We present the case of a 55-year-old male patient without any past medical history, he presented to the emergency room with abdominal pain in his upper left quadrant. Read More

Arab J Gastroenterol 2020 Jun 15;21(2):132-134. Epub 2020 May 15.

Department of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.

Endoscopic biliary stenting is performed for various indications in routine clinical practice. Plastic stents are indicated primarily for short-term biliary decompression and require removal or exchange after 12-16 weeks. However, patients who become asymptomatic after the procedure may not return for scheduled stent removal and subsequently present with severe complications. Read More

Int J Surg Case Rep 2020 12;70:230-233. Epub 2020 May 12.

Department of Surgery, Asfendiyarov Kazakh National Medical University, 050012 Almaty, Kazakhstan; City Clinical Hospital No. 4, 050054 Almaty, Kazakhstan.

Introduction: The widespread development of minimally invasive treatment methods have expanded the choices and options available to surgeons to manage patients suffering from cholelithiasis and its complications, including choledocholithiasis. As new surgical strategies are developed and become widely available, there is an ongoing debate as to which surgical strategies are optimal for the management of acute cholecystitis and concomitant choledocholithiasis. The treatment of patients in this category should be carried out according to clear criteria, taking into consideration the patient's condition, concomitant diseases, the size of calculi in the common bile duct as well as the resources of the medical institution. Read More

BJS Open 2020 May 17. Epub 2020 May 17.

Surgery, Örebro University School of Medical Sciences, Örebro, Sweden.

Background: Complicated acute biliary calculous disease poses clinical challenges. The European Society of Trauma and Emergency Surgery (ESTES) snapshot audit of complicated biliary calculous disease aims to make novel comparisons between self-reported institutional adherence to the Tokyo guidelines (TG18) and 'real-world' contemporary practice across Europe.

Methods: A preplanned analysis of a prospective observational multicentre audit that captured patients undergoing emergency admission for complicated biliary calculous disease (complicated cholecystitis, biliary pancreatitis, or choledocholithiasis with or without cholangitis) between 1 and 31 October 2018 was performed. Read More

Int J Surg Case Rep 2020 11;70:115-118. Epub 2020 May 11.

Departments of Surgery and Gastroenterology, Charles-LeMoyne Hospital, Greenfield Park, Canada.

Introduction: Common bile duct stone-related events and their recurrence are frequent even after endoscopic retrograde cholangiopancreatography and stone extraction. Cholecystectomy should be carried out as soon as possible after the initial episode to prevent complications.

Case Presentation: We present a case of a patient who underwent endoscopic ultrasound, cholangiopancreatography with stone extraction and cholecystectomy on the same day. Read More

Am Surg 2020 Apr;86(4):300-307

As bariatric surgery increases, there is a growing population of patients with biliary obstruction and anatomy which precludes transoral access through endoscopic retrograde cholangiopancreatography (ERCP). Minimally invasive transgastric ERCP (TG-ERCP) offers a feasible alternative for the treatment. A retrospective review was performed of all patients who underwent laparoscopic or robotic-assisted TG-ERCP between 2010 and 2017. Read More

Int J Infect Dis 2020 May 4;96:343-347. Epub 2020 May 4.

Internal medicine, Kenwakai Otemachi Hospital, Kitakyusyu, Japan.

Objectives: Given that the optimal antibiotic treatment duration for acute cholangitis with successful biliary drainage remains unknown, this study aimed to validate whether antibiotic treatment duration could be reduced to ≤3 days among patients presenting the same.

Methods: This retrospective study included patients who presented with mild to moderate acute cholangitis due to choledocholithiasis who had undergone successful biliary drainage through endoscopic retrograde cholangiopancreatography (ERCP). After that, 30-day mortality rates and 3-month recurrence rates following short-course antibiotic treatment (SCT, ≤3 days) and long-course antibiotic treatment (LCT, ≥4 days) were compared. Read More

Endosc Int Open 2020 May 17;8(5):E693-E698. Epub 2020 Apr 17.

Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States.

There is a consensus among gastroenterology organizations that elective endoscopic procedures should be deferred during the COVID-19 pandemic. While the decision to perform urgent procedures and to defer entirely elective procedures is mostly evident, there is a wide "middle ground" of time-sensitive but not technically urgent or emergent endoscopic interventions. We aimed to survey gastroenterologists worldwide using Twitter to help elucidate these definitions using commonly encountered clinical scenarios during the COVID-19 pandemic. Read More

J Emerg Med 2020 May 27;58(5):e227-e229. Epub 2020 Apr 27.

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: Hemobilia refers to bleeding in the biliary tract, commonly due to iatrogenic, traumatic, and neoplastic causes. It is a rare source of upper gastrointestinal hemorrhage, but it can be severe and fatal. However, gallstones account for 5%-15% of hemobilia cases. Read More

HPB (Oxford) 2020 Apr 24. Epub 2020 Apr 24.

University of California San Francisco, Department of Surgery, 513 Parnassus Avenue S-321, San Francisco, CA, 94143-0470, United States; San Francisco Veterans Affairs Medical Center, Department of Surgery, 4150 Clement Street, Box 112, San Francisco, CA, 94121, United States. Electronic address:

Background: Ampullary stenosis following Roux-en-Y gastric bypass (RYGB) is increasingly encountered. We describe cases of biliary obstruction from ampullary stenosis and choledocholithiasis to illustrate the associated diagnostic and interventional challenges with this condition.

Methods: We reviewed medical records of patients with prior RYGB who underwent a biliary access procedure or surgery for non-malignant disease from January 2012-December 2018. Read More

Gastroenterology 2020 Apr 17. Epub 2020 Apr 17.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine.

Gastroenterol Res Pract 2020 25;2020:2739612. Epub 2020 Mar 25.

Anhui Medical University Third Affiliated Hospital, 390 Huaihe Road, Luyang District, Hefei, Anhui Province, China.

Aims: Choledocholithiasis is a common and yet potentially debilitating disease of the biliary tract. While certain patients with this disease remain largely asymptomatic or experience mild discomfort, in several cases, patient can suffer biliary inflammation and other serious symptoms. Previous studies have detected elevated serum levels of carbohydrate antigen 199 in patients with choledocholithiasis. Read More

J Pediatr Gastroenterol Nutr 2020 Apr 16. Epub 2020 Apr 16.

Department of Medical Imaging, Ann & Robert Lurie Children's Hospital of Chicago, Chicago, IL, Ann and Robert Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL, 60611.

J Pediatr Gastroenterol Nutr 2020 Apr 16. Epub 2020 Apr 16.

UT Southwestern Department of Pediatrics, Division of Pediatric Gastroenterology Children's Health-Children's Medical Center, Dallas, Texas.

Background: Successful combined Laparoscopic cholecystectomy and ERCP in the Same Session (LESS) has been reported in several studies in adult patients with choledocholithiasis.

Methods: This was a retrospective analysis of data collected prospectively in the Pediatric ERCP Database Initiative using REDCAP. Adverse events were recorded separately and were reviewed for this study. Read More

J Pediatr Surg 2020 Mar 12. Epub 2020 Mar 12.

Division of Pediatric Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA. Electronic address:

Purpose: The purpose of our study was to compare the effectiveness of transincisional (TI) versus laparoscopic-guided (LG) rectus sheath block (RSB) for pain control following pediatric single-incision laparoscopic cholecystectomy (SILC).

Methods: Forty-eight patients 10-21 years old presenting to a single institution for SILC from 2015 to 2018 were randomized to TI or LG RSB. Apart from RSB technique, perioperative care protocols were identical between groups. Read More

Int J Surg 2020 05 1;77:134-135. Epub 2020 Apr 1.

Department of Surgery, Catholic School of Medicine, "Agostino Gemelli" Hospital, Rome, Italy.

Surg Endosc 2020 Apr 3. Epub 2020 Apr 3.

Department of Upper GI Surgery, Northwick Park Hospital & St Mark's Hospital, Watford Road, London, HA1 3UJ, UK.

Background: Many studies have failed to demonstrate significant differences between single- and two-staged approaches for the management of choledocholithiasis with concomitant gallstones in terms of post-operative morbidity. However, none of these studies paid specific attention to the differences between the methods of accessing the bile duct during laparoscopy. The aim of this study was to report outcomes of transcystic versus transductal laparoscopic common bile duct exploration (LCBDE) from our experience of over four hundred cases. Read More

Case Rep Gastroenterol 2020 Jan-Apr;14(1):80-86. Epub 2020 Feb 20.

Division of Gastroenterology, Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Endoscopic retrograde cholangiopancreatography (ERCP) had become the favored method to access the pancreaticobiliary system because it is a safer and less invasive method compared to surgery. However, as with any procedure, ERCP comes with its own risks and potential complications. We present a unique case of a patient who underwent ERCP and developed necrotizing infection of the neck and a submandibular abscess. Read More

J Dig Dis 2020 Apr 27;21(4):246-251. Epub 2020 Apr 27.

Department of Gastroenterology and Hepatology, Hokkaido University Faculty of Medicine and Graduate School of Medicine, Sapporo, Japan.

Objective: To elucidate the long-term outcomes of permanent endoscopic biliary stenting (EBS) and risk factors for recurrent biliary obstruction (RBO) in high-risk or elderly patients with common bile duct (CBD) stones.

Methods: The electronic database of Hakodate Municipal Hospital was searched to identify elderly or high-risk patients with CBD stones who had undergone permanent EBS using a plastic stent without stone removal and were followed up between April 2011 and May 2019, with no further intervention until symptoms occurred.

Results: We analyzed a total of 47 patients, of whom 19 (40. Read More

Int J Surg 2020 05 24;77:83-84. Epub 2020 Mar 24.

Department of Surgery, University Campus Bio-Medico of Rome, Rome, Italy. Electronic address:

Surg Endosc 2020 Mar 20. Epub 2020 Mar 20.

Department of General Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, Shanghai, 200032, China.

Background: This study was designed to investigate whether 3D laparoscopic common bile duct (LCBDE) could improve surgical outcomes in choledocholithiasis patients compared with 2D LCBDE.

Method: Propensity score-matched analysis was performed to balance the bias in baseline characteristic between two groups.

Results: 213 patients underwent 3D LCBDE and 212 patients receiving 2D LCBDE were enrolled in this study. Read More

Rev Gastroenterol Mex 2020 Mar 17. Epub 2020 Mar 17.

Departamento de Cirugía General y Endoscópica, Hospital General Dr. Manuel Gea González, SSA, Ciudad de México, México.

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is the treatment of choice for symptomatic choledocholithiasis during pregnancy. In pregnant patients, aside from the risks inherent in the procedure and sedation, there is the added concern of the potentially damaging effects of ionizing radiation on the fetus.

Aim: To describe the maternal and fetal results of ERCP performed to resolve symptomatic choledocholithiasis in pregnant patients. Read More

Int J Surg 2020 05 17;77:23-24. Epub 2020 Mar 17.

Department of General Surgery, Government Medical College, Trivandrum, Kerala, 695011, India. Electronic address:

BMC Surg 2020 Mar 17;20(1):50. Epub 2020 Mar 17.

Department of Anesthesiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Many options exist for the management of cholelithiasis and secondary choledocholithiasis. Among them, laparoscopic common bile duct exploration (LCBDE) with choledocotomy followed by laparoscopic cholecystectomy has gained popularity. However, efforts should be made to ensure minimally invasive or noninvasive management of the common bile duct (CBD). Read More

BMJ Case Rep 2020 Mar 12;13(3). Epub 2020 Mar 12.

UGI and HPB Surgery, Monash Health, Clayton, Victoria, Australia.

The management of choledocholithiasis in pregnancy can present a challenge due to radiation risk to the fetus and the possibility of severe maternal pancreatitis. We describe a case in which both these risks were avoided using a trans-cystic stent placed under endoscopic guidance during laparoscopic cholecystectomy. Read More