A Prospective Analytical Study About The CBD Stones
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Calculus disease of the biliary tract is one of the most common problems affecting the digestive tract .It accounts for more than 95% of calculus disease which include cholelithiasis and choledocholithiasis. Choledocholithiasis is associated in 10-15% of patients with cholelithiasis. Its incidence in india is increasing, due to the change in lifestyle and dietary modifications. Primary bile duct stones are of brown pigment type . Secondary bile duct stones are those migrating from the gall bladder and its major component is cholesterol variety. Patients admitted in various surgical units of GRH, Madurai between September 2010- Nov.2011 encompass the materials of this study.A total of 58 patients with CBD stones included. Slight Female preponderance was observed.Most of the CBD calculi cases were presented with obstructive symptoms i.e. jaundice, pain.USG had an accuracy rate of 70%. Mixed stones were the commonest variety (pigmented stones - dominant type). Open CBD exploration with T tube drainage is commonest procedure adopted for CBD calculi. Endoscopic sphincterotomy with stenting was done in patients with poor risk, recurrent or retained stones.
Authors and Affiliations
Mohan R, Kalirathinam S
Keywords
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- EP ID EP244385
- DOI 10.9790/0853-1610099091
- Views 84
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