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World J Gastrointest Endosc. Jun 16, 2013; 5(6): 288-292
Published online Jun 16, 2013. doi: 10.4253/wjge.v5.i6.288
Published online Jun 16, 2013. doi: 10.4253/wjge.v5.i6.288
Failure of sequential biliary stenting for unsuccessful common bile duct stone removal
Varayu Prachayakul, Siriraj Endoscopy Center, Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Pitulak Aswakul, Liver and Digestive Institute, Samitivej Sukhumvit Hospital, Bangkok 10120, Thailand
Author contributions: Prachayakul V developed the concept; Prachayakul V and Aswakul P performed data acquisition, and wrote and revised the paper for important intellectual content.
Correspondence to: Varayu Prachayakul, MD, Siriraj Endoscopy Center, Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Prannok Road, Bangkok 10700, Thailand. kaiyjr@gmail.com
Telephone: +66-662-4121088 Fax: +66-662-4199610
Received: January 8, 2013
Revised: April 24, 2013
Accepted: May 17, 2013
Published online: June 16, 2013
Revised: April 24, 2013
Accepted: May 17, 2013
Published online: June 16, 2013
Core Tip
Core tip: This study was a retrospective review of 42 patients who underwent sequential biliary stenting following a failed removal of a large common bile duct stone by endoscopic retrograde cholangiopancreatography. Complete common bile duct (CBD) clearance was achieved in 88% of the patients at 25 wk after the first procedure, while 19% reported complications. The common complications were cholangitis and pancreatitis. The factors associated with the failure of this strategy were unchanged CBD stone size at the second biliary stenting attempt, and more endoscopic retrograde cholangio-pancreatography sessions performed.