Choledochal stenting in the staged treatment of patients with choledocholithiasis
https://doi.org/10.24884/0042-4625-2025-184-5-69-73
Abstract
The article is devoted to the treatment of patients with choledocholithiasis. The issues of treatment of complex choledocholithiasis – an unremovable calculus of the common bile duct were considered. The results of 7 patients with complex choledolithiasis were analyzed. A method of stenting the common bile duct was proposed; when analyzing the results, it was noted that the size of the stones decreased in most patients – during rehospitalization, stones were not found in 2 patients, in the remaining 5 patients, stones were removed; a conclusion was made about the effectiveness of the staged treatment of patients in such situation.
About the Authors
V. K. KoryttsevRussian Federation
Koryttsev Vladimir K., Dr. of Sci. (Med.), Professor, Professor of the Department of Faculty Surgery
Samara
A. M. Krasnoslobodtsev
Russian Federation
Krasnoslobodtsev Andrey M., Surgeon of the Surgical Department № 6
Samara
S. S. Skupchenko
Russian Federation
Skupchenko Sergey S., Head of Endoscopic Department
Samara
I. V. Antropov
Russian Federation
Antropov Igor V., Cand. of Sci. (Med.), Head of the Surgical Department № 6
Samara
References
1. Stefanidis G., Christodoulou C., Manolakopoulos S., Chuttani R. Endoscopic extraction of large common bile duct stones: a review article. World J Gastrointest Endosc. 2012;4(5):167–179. https://doi.org/10.4253/Wjge.V4.I5.167.
2. Ogura T., Higuchi K. A review of treatment options for bile duct stones. Expert Rev Gasroenterol Hepatol. 2016;10(11):1271–1278. https://doi.org/10.1080/17474124.2016.1212658.
3. Romashchenko P. N., Fekliunin A. A., Maistrenko N. A. et al. Transpapillary endoscopic surgery: predictors of complications and prevention of their development. Endoscopic Surgery. 2021;27(1):40–48. (In Russ.). https://doi.org/10.17116/endoskop20212701140.
4. Day L. W., Lin L., Somsouk M. Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis. Endoscopy International Open. 2014;02:28–36. https://doi.org/10.1055/s-0034-1365281.
5. Mikhin A. I., Orlov S. Yu., Vasilenko K. V., Sazhin A. V. Endoscopic treatment of difficult common bile duct stones in elderly patients. Endoscopic Surgery. 2019;25(1):53–60. (In Russ.). https://doi.org/10.17116/endoskop20192501153.
6. Chang W. H., Chu C. H., Wang T. E. et al. Outcome of simple use of mechanical lithotripsy of difficult common bile duct stones. World J Gastroenterol. 2005;11:593–596. https://doi.org/10.3748/wjg.v11.i4.593.
7. Yasuda I., Itoi T. Recent advances in endoscopic management of difficult bile duct stones. Digestive Endoscopy. 2013;25:376–385. https:// doi.org/10.1111/Den.12118.
8. Yang J., Peng J. Y., Chen W. Endoscopic biliary stenting for irretrievable common bile duct stones: indications, advantages, disadvantages, and follow-up results. The Surgeon. 2012;10:211–217. https://doi.org/10.1016/J. Surge.2012.04.00.
9. Hong W. D., Zhu Q. H., Huang Q. K. Endoscopic sphincterotomy plus endoprostheses in the treatment of large or multiple common bile duct stones. Digestive Endoscopy. 2011;23:240–243. https://doi.org/10.1111/ J.1443-1661.2010.01100.X.
10. Ye X., Huai J., Sun X. Effectiveness and safety of biliary stenting in the management of difficult common bile duct stones in elderly patients. Turk J Gastroenterol. 2016;27:30–36. https://doi.org/10.5152/Tjg.2015.150305.
11. Lee D. K., Jahng J. H. Alternative methods in the endoscopic management of difficult common bile duct stones. Digestive Endoscopy. 2010;22(suppl 1):79–84. https://doi.org/10.1111/J.1443-1661.2010.00960.X.
Supplementary files
|
1. Неозаглавлен | |
| Subject | ||
| Type | Other | |
Download
(B)
|
Indexing metadata ▾ | |
Review
For citations:
Koryttsev V.K., Krasnoslobodtsev A.M., Skupchenko S.S., Antropov I.V. Choledochal stenting in the staged treatment of patients with choledocholithiasis. Grekov's Bulletin of Surgery. 2025;184(5):69-73. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-5-69-73









































