Health Condition 1: K838- Other specified diseases of biliary tract
Conditions
Interventions
Intervention1: Endoscopic Removal: The endoscopic retrograde cholangiopancreatography (ERCP) technique will be carried out as a day care procedure. All the patients will undergo a preanaesthetic check
Olympus, Gurgaon, India). Selective cannulation of the bile duct will be achieved using a wire-guided sphincterotome and a hydrophilic guidewire (Terumo, Trivandrum, India, 260 cm, 0.032-in. diameter)
Erbee, Tuebingen, Germany). The stones will be extracted after fragmenting it with a mechanical lithotripter and subsequently using Dormia basket or stone extraction balloon. In case of these methods
Olympus, Gurgaon, India). The stone will be fragmented using Holmium: YAG laser using 0.5- 1.0 J/pulse with a frequency of 10-20 Hz. A check cholangiogram will be performed to confirm complete clearan
Sponsors
Department of Gastroenterology and Department of Surgery
Eligibility
Inclusion criteria
Inclusion criteria: Patients with a common bile duct stone of size 1.5 cm or more detected on a magnetic resonance cholangiopancreatography (MRCP) with or without gall stones, both pre and post cholecystectomy will be included in the study.
Exclusion criteria
Exclusion criteria: 1. Presence of acute cholecystitis 2. Presence of acute cholangitis 3. Patients with obstructive jaundice with a serum bilirubin level higher than 10 mg/dl 4. Patients with a CBD diameter less than 10 mm 5. Patients with a history of hepatobiliary surgery other than cholecystectomy 6. Patient with uncorrectable coagulopathy 7. Patient with American Society Anaeathesiology (ASA) class 3 or more 8. Patient refusal to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be a composite of complete removal of stone in the bile duct by laproscopic CBD exploration (LCE) or endoscopic method, need of more than two attempts of ERCP for bile duct clearance or occurrence of major complication.Timepoint: at 1 month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complications of the intervention 2. Procedure time in minutes 3. Difficulty of the procedure 4. Hospital stay 5.Cost of the procedure 6. Cost effectivenessTimepoint: at 1 months | — |
Countries
India
Contacts
Public ContactSOUMYA JAGANNATH MAHAPATRA
All India Institute of Medical Sciences
Outcome results
None listed