Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy
Introduction: Retained choledochal stones are classified as the stones that were left at the time of surgery or diagnosed shortly after the cholecystectomy. Choledochal stones may be silent and often are discovered incidentally. They may cause obstruction, complete or incomplete, or they may manifes...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Shahid Sadoughi University of Medical Sciences
2013-12-01
|
| Series: | Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd |
| Subjects: | |
| Online Access: | http://jssu.ssu.ac.ir/browse.php?a_code=A-10-1137-1&slc_lang=en&sid=1 |
| _version_ | 1818138770868797440 |
|---|---|
| author | M Shiryazdi B Alavi Farzane A Khoshnood |
| author_facet | M Shiryazdi B Alavi Farzane A Khoshnood |
| author_sort | M Shiryazdi |
| collection | DOAJ |
| description | Introduction: Retained choledochal stones are classified as the stones that were left at the time of surgery or diagnosed shortly after the cholecystectomy. Choledochal stones may be silent and often are discovered incidentally. They may cause obstruction, complete or incomplete, or they may manifest themselves with cholangitis or gallstone pancreatitis. Therefore, this study was designed to determine frequency of retained chledochal stones and its relationship with some variables such as age, gender, serum alkaline phosphatase, serum bilirubin, ultrasound findings, MRC and ERC.
Methods: This is a cross-sectional study that was done on 200 patients who underwent cholecystectomy with sequential pattern during 2012 in the Shahid Sadooghi Hospital of Yazd. The study data were collected according to the patients' history, physical examination, files and also one month follow up. Moreover, the data were analyzed by SPSS software ver.17.
Results: From 200 patients who underwent cholecystectomy, only one patient (0.5%) had retained choledochal stone. Before cholecystectomy, 19 patients (9.5%) who were presumed to have choledochal stone, underwent ERCP. In 16 patients (8%) sphincterotomy and stone extraction were done. From these 16 patients,14 patients (87.5%) had high level of serum alkaline phosphatase, 12 patients (75%) had high level of serum bilirubin and 9 patients (56.3%) had abnormal ultrasound findings during preoperative course. Thus, there was a statistically significant relation between these three variables and choledochal stone.
Conclusion: According to above statistically significant relation, we recommend that in patients who are candidate for cholecystectomy, if elevated preoperative serum alkaline phosphatase or elevated preoperative serum bilirubin or abnormal ultrasound findings were observed, more diagnostic evaluation should be done for them including MRC and ERC. |
| first_indexed | 2024-12-11T10:17:29Z |
| format | Article |
| id | doaj.art-275952cbd15343c59d6945f95329abc3 |
| institution | Directory Open Access Journal |
| issn | 2228-5741 2228-5733 |
| language | fas |
| last_indexed | 2024-12-11T10:17:29Z |
| publishDate | 2013-12-01 |
| publisher | Shahid Sadoughi University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd |
| spelling | doaj.art-275952cbd15343c59d6945f95329abc32022-12-22T01:11:34ZfasShahid Sadoughi University of Medical SciencesMajallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd2228-57412228-57332013-12-01215675681Assessment of Requirement of Routine Intraoperative Cholaniography at CholecystectomyM Shiryazdi0B Alavi Farzane1A Khoshnood2 Shahid Sadohghi University of Medical Sciences Shahid Sadohghi University of Medical Sciences Shahid Sadohghi University of Medical Sciences Introduction: Retained choledochal stones are classified as the stones that were left at the time of surgery or diagnosed shortly after the cholecystectomy. Choledochal stones may be silent and often are discovered incidentally. They may cause obstruction, complete or incomplete, or they may manifest themselves with cholangitis or gallstone pancreatitis. Therefore, this study was designed to determine frequency of retained chledochal stones and its relationship with some variables such as age, gender, serum alkaline phosphatase, serum bilirubin, ultrasound findings, MRC and ERC. Methods: This is a cross-sectional study that was done on 200 patients who underwent cholecystectomy with sequential pattern during 2012 in the Shahid Sadooghi Hospital of Yazd. The study data were collected according to the patients' history, physical examination, files and also one month follow up. Moreover, the data were analyzed by SPSS software ver.17. Results: From 200 patients who underwent cholecystectomy, only one patient (0.5%) had retained choledochal stone. Before cholecystectomy, 19 patients (9.5%) who were presumed to have choledochal stone, underwent ERCP. In 16 patients (8%) sphincterotomy and stone extraction were done. From these 16 patients,14 patients (87.5%) had high level of serum alkaline phosphatase, 12 patients (75%) had high level of serum bilirubin and 9 patients (56.3%) had abnormal ultrasound findings during preoperative course. Thus, there was a statistically significant relation between these three variables and choledochal stone. Conclusion: According to above statistically significant relation, we recommend that in patients who are candidate for cholecystectomy, if elevated preoperative serum alkaline phosphatase or elevated preoperative serum bilirubin or abnormal ultrasound findings were observed, more diagnostic evaluation should be done for them including MRC and ERC.http://jssu.ssu.ac.ir/browse.php?a_code=A-10-1137-1&slc_lang=en&sid=1Common Bile Duct Stone; Intraoperative Cholangiography; Retained Choledochal Stone |
| spellingShingle | M Shiryazdi B Alavi Farzane A Khoshnood Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd Common Bile Duct Stone; Intraoperative Cholangiography; Retained Choledochal Stone |
| title | Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy |
| title_full | Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy |
| title_fullStr | Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy |
| title_full_unstemmed | Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy |
| title_short | Assessment of Requirement of Routine Intraoperative Cholaniography at Cholecystectomy |
| title_sort | assessment of requirement of routine intraoperative cholaniography at cholecystectomy |
| topic | Common Bile Duct Stone; Intraoperative Cholangiography; Retained Choledochal Stone |
| url | http://jssu.ssu.ac.ir/browse.php?a_code=A-10-1137-1&slc_lang=en&sid=1 |
| work_keys_str_mv | AT mshiryazdi assessmentofrequirementofroutineintraoperativecholaniographyatcholecystectomy AT balavifarzane assessmentofrequirementofroutineintraoperativecholaniographyatcholecystectomy AT akhoshnood assessmentofrequirementofroutineintraoperativecholaniographyatcholecystectomy |