Choleducolithiasis. Calculus of bile duct without cholangitis or cholecystitis
Conditions
Interventions
Intervention 1: After endoscopic retrograde cholangiopancreatography, minimal papillary sphincterotomy up to proximal fold will perform with sphincterotomy and electrocautery (blended current, 40-60 W
Treatment - Surgery
After endoscopic retrograde cholangiopancreatography, minimal papillary sphincterotomy up to proximal fold will perform with sphincterotomy and electrocautery (blended current, 40-60 W). Then papilla
After endoscopic retrograde cholangiopancreatography, minimal papillary sphincterotomy up to proximal fold will perform with sphincterotomy and electrocautery (blended current, 40-60 W). Then papillar
Sponsors
Vice Chancellor for Research, Isfahan University of Medical Sciences and Health Services
Eligibility
Sex/Gender
All
Age
16 Years to 90 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: 16 to 90 years old patients eligible for treatment of choleducolithiasis documented with ultrasonography or magnetic resonance cholangiopancreatography, no severe hepatic or systemic disease, no history of gastric or choledochal surgery (except cholecystectomy), no active pancreatitis, no previous sphincterotomy, no biliary stricture, no choledochal cyst, no addiction. Exclusion criteria: precut sphincterotomy, failure of cannulation of common hepatic duct, no stone in endoscopic retrograde cholangiopancreatography, lack of consent to cooperate in trial.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Common Bile Duct stone clearance. Timepoint: Just after the intervention. Method of measurement: Observation (stone or stones extraction). | — |
Secondary
| Measure | Time frame |
|---|---|
| Abdominal pain. Timepoint: Every six hours up to 48 hours after the intervention. Method of measurement: History and physical examination.;Fever. Timepoint: Every six hours up to 48 hours after the intervention. Method of measurement: Oral thermometer, temperature equal or more than 38 degree of Celsius.;Serum amylase level. Timepoint: Before and 2 hours after the intervention. Method of measurement: ELISA kits: International Unit per Littre.;Hemorrhage. Timepoint: Every six hours up to 48 hours after the intervention. Method of measurement: History and physical examination.;Perforation. Timepoint: Every six hours up to 48 hours after the intervention. Method of measurement: History and physical examination.;Pancreatitis. Timepoint: Every six hours up to 24 hours after the intervention. Method of measurement: History, physical examination and serum amylase 2 hours after the procedure. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Hadi Shafigh Ardestani
Isfahan University of Medical Sciences and Health Services
Outcome results
None listed