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Anand AC, Singh B, Pruthi HS, et al. THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL. Med J Armed Forces India. 2017;54(3):232-235doi: 10.1016/S0377-1237(17)30551-8.
Anand, A. C., Singh, B., Pruthi, H. S., Bhalla, V. P., & Chaudhry, R. (1998). THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL. Medical journal, Armed Forces India, 54(3), 232-235. https://doi.org/10.1016/S0377-1237(17)30551-8
Anand, A C, et al. "THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL." Medical journal, Armed Forces India vol. 54,3 (1998): 232-235. doi: https://doi.org/10.1016/S0377-1237(17)30551-8
Anand AC, Singh B, Pruthi HS, Bhalla VP, Chaudhry R. THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL. Med J Armed Forces India. 1998 Jul;54(3):232-235. doi: 10.1016/S0377-1237(17)30551-8. Epub 2017 Jun 26. PMID: 28775484; PMCID: PMC5531617.
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Med J Armed Forces India. 1998 Jul;54(3):232-235. doi: 10.1016/S0377-1237(17)30551-8. Epub 2017 Jun 26.

THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL.

Medical journal, Armed Forces India

A C Anand, Balwinder Singh, H S Pruthi, V P Bhalla, R Chaudhry

Affiliations

  1. Classified Specialist (Medicine & GE), Command Hospital (WC), Chandimandir-134107.
  2. Classified Specialist (Medicine & GE), Command Hospital (SC), Pune-40.
  3. Associate Professor, Department of Medicine, Armed Forces Medical College, Pune-40.
  4. Reader, Department of Surgery, Armed Forces Medical College, Pune-40.
  5. Classified Specialist (Surgery), Command Hospital (EC), Calcutta-700027.

PMID: 28775484 PMCID: PMC5531617 DOI: 10.1016/S0377-1237(17)30551-8

Abstract

Therapeutic Biliary Endoscopy (TBE) is becoming a popular mode of treatment for patients with obstructive jaundice. This paper highlights our early experience of TBE at Armed Forces Medical College and Command Hospital (SC), Pune with this mode of treatment. TBE was used as a primary therapeutic option in 46 patients with obstructive jaundice. The age of the patients ranged from 11 to 80 (mean and SD:45.5 ± 16) years and majority 29 (63%) were males. The cause of obstructive jaundice in these patients was choledocholithiasis (n=31), benign biliary stricture (n=8), post cholecystectomy recurrent stones (n=3), carcinoma of pancreas (n=3) and papillary stenosis (n-1). Endoscopic Sphincterotomy (ES) was technically successful in all the 46 patients and brought prompt symptomatic relief in 43 patients. Sixteen patients (34.8%) required additional drainage such as stenting or nasobiliary drain. In patients with choledocholithiasis, bile duct could be cleared of stones in 29 (93.5%) patients and in two surgical removal was required. Of the remaining patients, surgery was required in 4 (50%) patients with benign biliary structure, in 1 (33.3%) of those with malignant stricture and none of the patients presenting with papillary stenosis or recurrent bile duct stones after cholecystectomy. Complications were seen in only two patients (4.4%): one had mild acute pancreatitis and another had GI bleed, which did not require blood transfusion. Both the complications were self-limiting. No procedure related deaths were noted. Endoscopic therapy, thus, a simple, effective and safe method of treatment in patients with choledocholithiasis and selected patients with malignant biliary obstruction.

Keywords: Biliary obstruction; Endoscopic sphincterotomy; Endotherapy; Gall stones; Obstructive jaundice; Therapeutic endoscopy

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