Publication:
Clinical Profile and Endoscopic Management in Patients with Choledocholithiasis

creativeworkseries.issn1999-6217
dc.contributor.authorLamsal, Manoj
dc.contributor.authorJha, Anurag
dc.contributor.authorKafle, Brindeswari
dc.contributor.authorHamal, Rabin
dc.contributor.authorSherpa, Tshering Wangdi
dc.contributor.authorKafle, Pradip Kumar
dc.contributor.authorBhattarai, Tulsi Ram
dc.contributor.authorBhusal, Mohan
dc.contributor.authorKoirala, Dinesh
dc.contributor.authorPathak, Rahul
dc.date.accessioned2025-07-18T06:01:39Z
dc.date.available2025-07-18T06:01:39Z
dc.date.issued2024
dc.descriptionManoj Lamsal Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Anurag Jha Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Brindeswari Kafle Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Rabin Hamal Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Tshering Wangdi Sherpa Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Pradip Kumar Kafle Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Tulsi Ram Bhattarai Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Mohan Bhusal Department of Internal Medicine, Lumbini Provincial Hospital, Butwal, Rupandehi, Nepal Dinesh Koirala Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal Rahul Pathak Department of Gastroenterology, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
dc.description.abstractBackground: Common bile duct stones is a common medical problem that are usually seen in association with gallstone disease. Endoscopic management of Common bile duct stones involves doing Endoscopic retrograde cholangiography for bile duct clearance which is the primary therapeutic modality of choice. This prospective study was done to identify the clinical characteristics and outcome of patients presenting with Common bile duct stones undergoing Endoscopic retrograde cholangiography. Methods: A prospective observational study was conducted on all patients undergoing Endoscopic retrograde cholangiography in department of Gastroenterology, Tribhuvan University Teaching Hospital, for management of diagnosed or suspected choledocholithiasis from April 2023 to March 2024. Patient demographics, clinical characteristics, Endoscopic retrograde cholangiography findings and post procedure outcome data were collected and analysed. Results: A total of 110 patients (61.8% male and 38.2% female) were included in the final analysis. Successful clearance of Common bile duct was obtained in 76.4% patients with overall adverse events of 18% related to the procedure. Among patients undergoing the procedure, 16.4% couldn’t be managed with Endoscopic retrograde cholangiography and were referred for surgical management. Conclusions: Endoscopic management in form of Endoscopic retrograde cholangiography is a safe and effective method to manage patients with Common bile duct stones. Keywords: Common bile duct calculi; endoscopic sphincterotomy; ERCP.
dc.identifierhttps://doi.org/10.33314/jnhrc.v22i02.5390
dc.identifier.urihttps://hdl.handle.net/20.500.14572/368
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleClinical Profile and Endoscopic Management in Patients with Choledocholithiasis
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage401
oaire.citation.startPage397
relation.isJournalIssueOfPublicatione2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalIssueOfPublication.latestForDiscoverye2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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