Evaluating Management Strategies for Common Bile Duct Stones in Female Patients at a Tertiary Care Hospital
Creators
- 1. Assistant Professor, Department of General Surgery, C U Shah Medical College and Hospital, Surendranagar, Gujarat, India
- 2. Assistant Professor, Department of Radiodiagnosis, Dr N D Desai Faculty of Medical Science and Research, Dharmsinh Desai University, Nadiad, Gujarat, India
- 3. Assistant Professor, Department of Biochemistry, Dr M K Shah Medical College and Research Centre, Ahmedabad, Gujarat, India
- 4. Assistant Professor, Department of Psychiatry, Pacific Institute of Medical Sciences, Udaipur, Rajasthan, India
Description
Introduction: Common bile duct (CBD) stone is a common issue in clinical practice, demanding swift diagnosis and treatment. Treatment options encompass open, endoscopic, and laparoscopic methods. CBD stones pose challenges for surgeons and gastroenterologists due to varying symptom severity. This study aimed to assess different treatment modalities for CBD stones in females and their effectiveness in terms of outcomes and complications. Materials and Methods: We conducted a prospective study involving 89 patients. Data collected included detailed patient history (age, gender, admission date), chief and associated complaints, past medical history, general and systemic examinations (particularly abdominal), laboratory investigations (if conducted), and special investigations such as X-ray, ultrasound, CT scan, MRCP, and ERCP. Complications were meticulously evaluated and monitored post-treatment. Patients were followed up monthly for six months after discharge to track recurrent attacks or new complications. Results: CBD stones predominantly affected females aged 55 to 64 years, presenting a range of symptoms from asymptomatic to severe complications like acute biliary pancreatitis and cholangitis. Pain, jaundice, and fever were common symptoms. Ultrasonography detected stones in about 40% of cases. ERCP was the primary extraction method, with open surgery used in failed cases. Open surgery showed slightly higher success rates than endoscopic procedures. Conclusion: Open surgery demonstrated greater success compared to endoscopic procedures, particularly in cases with large stone burdens causing lower CBD obstruction. Proper patient categorization, pre-operative evaluation, and skilled medical staff are critical for optimal treatment decisions.
Abstract (English)
Introduction: Common bile duct (CBD) stone is a common issue in clinical practice, demanding swift diagnosis and treatment. Treatment options encompass open, endoscopic, and laparoscopic methods. CBD stones pose challenges for surgeons and gastroenterologists due to varying symptom severity. This study aimed to assess different treatment modalities for CBD stones in females and their effectiveness in terms of outcomes and complications. Materials and Methods: We conducted a prospective study involving 89 patients. Data collected included detailed patient history (age, gender, admission date), chief and associated complaints, past medical history, general and systemic examinations (particularly abdominal), laboratory investigations (if conducted), and special investigations such as X-ray, ultrasound, CT scan, MRCP, and ERCP. Complications were meticulously evaluated and monitored post-treatment. Patients were followed up monthly for six months after discharge to track recurrent attacks or new complications. Results: CBD stones predominantly affected females aged 55 to 64 years, presenting a range of symptoms from asymptomatic to severe complications like acute biliary pancreatitis and cholangitis. Pain, jaundice, and fever were common symptoms. Ultrasonography detected stones in about 40% of cases. ERCP was the primary extraction method, with open surgery used in failed cases. Open surgery showed slightly higher success rates than endoscopic procedures. Conclusion: Open surgery demonstrated greater success compared to endoscopic procedures, particularly in cases with large stone burdens causing lower CBD obstruction. Proper patient categorization, pre-operative evaluation, and skilled medical staff are critical for optimal treatment decisions.
Files
IJPCR,Vol16,Issue6,Article192.pdf
Files
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Additional details
Dates
- Accepted
-
2024-06-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue6,Article192.pdf
- Development Status
- Active
References
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