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Cirujano general

versão impressa ISSN 1405-0099

Resumo

HERNANDEZ CENTENO, José Raúl et al. Reports of therapeutic results with high and moderate risk of common bile duct stones. Cir. gen [online]. 2016, vol.38, n.4, pp.187-191.  Epub 16-Abr-2020. ISSN 1405-0099.

Introduction:

Gallbladder stone disease has a 10 to 15% prevalence. A common complication is bile duct stones, which are reported in up to 11.9%. We used the Attasaranya scale to classify bile duct stone risk and report the outcome of each management option.

Material and methods:

Descriptive, observational and retrospective study. Patients with high and moderate risk of bile duct stones.

Results:

Sixty-six individuals were included, 36 with high risk and 28 with moderate risk. Of the high risk group, 50% had a single factor (jaundice 61.1%). Endoscopic retrograde cholangiopancreatography was performed on 29 subjects (72.5%), with a confirmed stone in 58.3%. In the moderate risk group, diminished liver function test (LFT) was the most frequent factor (96.4%). In this group, endoscopic retrograde cholangiopancreatography was performed on 10.7%, with a 33.3% morbidity rate.

Discussion:

Common bile duct stone disease is a frequent problem in the practice of general surgery, with no universally accepted guidelines to mandate treatment options. In half of the patients from the high-risk group in whom endoscopic retrograde cholangiopancreatography was performed, a stone was visible. This was only seen in ten percent of the patients from the moderate risk group.

Conclusions:

The Attasaranya scale can be used to classify the risk of common bile duct stones to provide adequate therapeutic options.

Palavras-chave : Choledocholithiasis; common bile duct stones; cholangiography; endoscopic retrograde cholangiopancreatography.

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