A COMPARATIVE STUDY OF THE IMAGING AND TREATMENT MODALITIES IN THE MANAGEMENT OF CHOLEDOCHOLITHIASIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 16
Abstract
AIM The objectives of this study are to compare the investigative modalities used in the diagnosis and to compare the treatment undertaken in the management of patients with choledocholithiasis. MATERIAL AND METHODS Data was collected in prefixed proforma in our hospital between April 2012 to Oct 2014 after considering inclusion and exclusion criteria. Data regarding imaging studies for diagnosis of choledocholithiasis was collected. After diagnosis, patients were subjected to different treatment modalities. The outcomes, complications and morbidity of the procedures were compared analysed. RESULTS Mean age was more than 50 years. Pain abdomen was the most common preventing complaint. Ultrasound was the commonest imaging modality done with sensitivity of more than 60% in finding the CBD stone CT and MRCP in diagnosis of choledocholithiasis were concerned and dilatation of the common bile duct was detected equally by both methods. ERCP and surgical methods in form of laparoscopic or open surgery were different treatment modalities used; ERCP was the common treatment modality done. Open surgery and laparoscopic cholecystectomy were next commonest treatment modalities done respectively. CONCLUSIONS Occurrence of choledocholithiasis increases with age. USG is both cheap and effective with sensitivity more than 60% but MRCP is more preferable as a biliary imaging modality. Choledochoduodenostomy is an optional method of management following CBD exploration while T-tube drainage and primary closure of the CBD following exploration have comparable results.
Authors and Affiliations
Harish Iyyanna, Ashwin Hebbar
Keywords
Related Articles
- EP ID EP233382
- DOI 10.18410/jebmh/2016/137
- Views 112
- Downloads 0
ECTOPIC SPLEEN- A CASE REPORT
BACKGROUND Ectopic spleen is a rare clinical entity. It maybe asymptomatic or presents as abdominal discomfort. We report a case of ectopic spleen in a 25-year-old male patient presented as lower abdominal pain. On ultra...
CORRELATION BETWEEN THE FDG UPTAKE OF PRIMARY TUMOUR AND METASTATIC MEDIASTINAL LYMPH NODES IN NON SMALL CELL LUNG CARCINOMA
BACKGROUND FDG-PET/CT is the current imaging modality of choice in the workup of patients with Non-Small Cell Lung Carcinoma. Mediastinal Lymph nodal status is an important indicator in the staging and prognostication of...
FOETOMATERNAL OUTCOME OF OBSTETRIC CHOLESTASIS
BACKGROUND Obstetric cholestasis is a disorder of liver function commonly occurring in the third trimester of pregnancy. Clinical characters of this disorder include unexplained maternal pruritus, most common site being...
PEYRONIE’S DISEASE AND ERECTILE DYSFUNCTION- A CASE REPORT
BACKGROUND Peyronie’s Disease (PD) is an acquired connective tissue disorder of the tunica albuginea of the corpus cavernosum characterised by excessive fibrosis and plaque formation. PD can result in significant physica...
A CLINICAL, PATHOLOGICAL STUDY AND MANAGEMENT OF GALL BLADDER STONES
BACKGROUND Gallstones are one of the most common medical problems leading to surgical intervention throughout the world. At least 10% of the adults have gallstones. With a recent rise in the incidence due to westernizati...