Endoscopic Common Bile Duct Stones Clearance During Pregnancy

Endoscopic Common Bile Duct Stones Clearance During Pregnancy: Challenges and Solutions

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06092905

Enrollment

Registered

2023-10-23

Start date

2023-04-01

Completion date

2023-12-31

Last updated

2023-10-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Common Bile Duct Calculi

Keywords

Common Bile Duct Stones, Endoscopic clearance, Jaundice, Pregnancy

Brief summary

Background: Pregnancy is associated with a higher risk of common bile duct stones. Currently Endoscopic Retrograde Cholangiopancreatography (ERCP) is the treatment of choice for symptomatic choledocholithiasis. However, ERCP during pregnancy is associated with hazards of radiation exposure, as well as challenging patient positioning and anesthesia

Detailed description

This is a retrospective analysis of endoscopic common bile duct stone clearance in pregnant patients with symptomatic choledocholithiasis between June 2015 and June 2023. Sedation and anesthesia was done by safe medications by senior anesthetist, and the endoscopic procedure was performed in left lateral decubitus instead of prone position. The gravid uterus was kept away from the monopolar electrocautery current pathway. Radiocontrast injection and fluoroscopy was deleted and replaced by trans-abdominal US and endoscopic bile aspiration Data including perioperative outcomes and follow up data will collected, tabulated and analyzed.

Interventions

OTHEREndoscopic clearance of common bile duct stones

Under general anesthesia, in left lateral decubitus, endoscopic clearance of common bile duct stones was done. Ultrasonography was used to ensure right positioning of the guide wire in the common bile duct, and ensure stone clearance.

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 50 Years

Inclusion criteria

* Pregnant women with symptomatic common bile duct stones.

Exclusion criteria

* Presence of pancreatitis or cholangitis.

Design outcomes

Primary

Measure	Time frame	Description
Complications	Till one month after delivery.	any perioperative complications as pancreatitis, perforation, bleeding, abortion, preterm labor.

Countries

Egypt

Contacts

Primary ContactABDALLAH M ALY, MD

abdallahsurgery@med.svu.edu.eg+201011716497

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026