caa a22 4500 46794475X CHVBK 20180405193736.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/s00464-003-9272-9 doi (NATIONALLICENCE)springer-10.1007/s00464-003-9272-9 (NATIONALLICENCE)springer-10.1007/BF02637124 Endoscopic management of retained bile stones with an indwelling T-tube [Elektronische Daten] [E. Christoforidis, K. Vasiliadis, I. Goulimaris, D. Botsios, H. Tsorlini, D. Betsis] Background: Endoscopic sphincterotomy (ES) is widely used for the treatment of residual bile duct stones in patients who had common bile duct (CBD) exploration and T-tube insertion. Methods: In a 4-year period 45 patients were referred for endoscopic removal of residual bile duct stones. All patients had been operated 7-15 days earlier for choledocholithiasis and had a T-tube in the common bile duct (CBD). Results: Four patients were excluded. Three patients had a periampullary carcinoma and the fourth patient had no residual stone seen at cholangiography. All patients had a successful ES, conventional in 34, precut-knife in 3, and with the rendezvous technique in 4 patients. In 24 patients, all having stones distal to the T-tube, complete clearance of the CBD was achieved during one session and the T-tube was removed after 48 h. In the remaining 17 patients (15 having stones proximal to the T-tube), the T-tube had to be removed first and following stone extraction, a plastic stent was inserted in the CBD. Complete bile duct clearance and stent removal was achieved in a second session 3-4 weeks later. There were no serious complications or biliary related symptoms after the procedures and after a mean follow-up period of 18 months. Conclusion: The endoscopic technique is safe and efficient for the treatment of residual stones after CBD exploration with a T-tube insertion, offering immediate cure compared to the percutaneous techniques. It is also an ideal method for the diagnosis of periampullary carcinomas. Springer-Verlag, 2004 CBD exploration nationallicence T-tube nationallicence endoscopic sphincterotomy nationallicence periampullary carcinoma nationallicence Christoforidis E. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Vasiliadis K. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Goulimaris I. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Botsios D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Tsorlini H. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Betsis D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1582-1586 0930-2794 18:11<1582 2004 18 464 https://doi.org/10.1007/s00464-003-9272-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-003-9272-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Christoforidis E. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Vasiliadis K. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Goulimaris I. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Botsios D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Tsorlini H. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Betsis D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou," Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1582-1586 0930-2794 18:11<1582 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637124 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Christoforidis E. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Vasiliadis K. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Goulimaris I. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Botsios D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Tsorlini H. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Betsis D. Fourth Surgical Department, Endoscopic Unit, Hospital "G. Papanikolaou”, Aristotle University of Thessaloniki, Kiriakidou 16-20, Kalamaria, GR 55132, Thessaloniki, Greece aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1582-1586 0930-2794 18:11<1582 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer