Choledocholithiasis
Conditions
Interventions
Traditional ERCP group:Traditional ERCP treatment for common bile duct stones
Visualized ERCP group:Visualize intubation with the assistance of a transparent cap, and perform stone extraction under full process endoscopic visualization
Sponsors
Sichuan Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients with common bile duct stones confirmed by imaging (abdominal CT, MRCP, abdominal ultrasound, endoscopic ultrasound). 2. The diameter of the stones is less than 1cm, and the number is less than 3, regardless of whether there are gallstones in combination 3. There is one of the laboratory evidence of biliary obstruction, such as the obstructive enzyme ALP, GGT, which is more than 2 times higher than the normal value 4. Age 18-80 years old
Exclusion criteria
Exclusion criteria: 1. Pregnant women, contrast agent allergy, cardiopulmonary insufficiency, severe liver and kidney insufficiency, severe coagulation dysfunction 2. Patients who are unable to cooperate with ERCP 3. Patients with upper gastrointestinal tract stricture and obstruction, and it is impossible for endoscopy to reach the descending duodenum 4. Those who have a history of gastric resection resulting in changes in the anatomy of the digestive tract 5. Patients with acute pancreatitis or acute exacerbation of chronic pancreatitis 6. Those who have previously undergone duodenal papillary sphincterotomy 7. Patients with duodenal papillae due to natural stone discharge or previous surgical cholangioscopic exploration of nipple fistula 8. Patients with preoperative endoscopy and duodenal papillary diverticulum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ERCP intubation success rate;Success rate of stone removal surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Surgical complications; | — |
Countries
China
Contacts
Public ContactXiaogang Liu
Sichuan Provincial People's Hospital
Outcome results
None listed