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Retained CBD stone after ERCP is a common problem in clinical practice. This study aimed to evaluate the effect of saline irrigation of common bile duct after complete stone removal considered by ERCP in the reduction of residual CBD stone and the effect on clinical outcome.
This study aimed to evaluate the effect of saline irrigation of common bile duct after complete stone removal considered by ERCP in the reduction of residual CBD stone and the effect on clinical outcome. Patients with CBD stone who received endoscopic stone removal were included after complete stone clearance was seen on occluded cholangiogram. One arm received saline irrigation of CBD at least 50 ml until clear effluent seen and another arm as control. Both group received endoscopic ultrasound to evaluation for residual stone and followed up for complication and outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| saline irrigation group | Experimental | The patients received saline irrigation of common bile duct after complete ERCP stone removal confirmed by occluded cholangiogram |
|
| control | No Intervention | The patients whom complete ERCP stone removal confirmed by occluded cholangiogram were follow up according to standard treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saline irrigation group | Procedure | Normal saline irrigation of common bile duct after complete stone removal |
|
| Measure | Description | Time Frame |
|---|---|---|
| prevalence of residual CBD stone | Detected residual CBD stone by endoscoic ultrasound | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| factors associated with retained CBD stone | procedural and non-procedural factors related to retained CBD stone | 1 day |
| Complicaion and clinical outcome | Complication associated with the procedure, hospital stay, and clinical outcome after the procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rajavithi Hospital | Bangkok | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19249039 | Result | Ang TL, Teo EK, Fock KM, Lyn Tan JY. Are there roles for intraductal US and saline solution irrigation in ensuring complete clearance of common bile duct stones? Gastrointest Endosc. 2009 Jun;69(7):1276-81. doi: 10.1016/j.gie.2008.10.018. Epub 2009 Feb 26. | |
| 29610513 | Result | Ahn DW, Lee SH, Paik WH, Song BJ, Park JM, Kim J, Jeong JB, Hwang JH, Ryu JK, Kim YT. Effects of Saline Irrigation of the Bile Duct to Reduce the Rate of Residual Common Bile Duct Stones: A Multicenter, Prospective, Randomized Study. Am J Gastroenterol. 2018 Apr;113(4):548-555. doi: 10.1038/ajg.2018.21. Epub 2018 Mar 27. |
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Included patients are randomized to two group, study group and control group an followed up parallelly.
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The patients are blinded to the treatment
| 6 months |
| ID | Term |
|---|---|
| D042882 | Gallstones |
| D002761 | Cholangitis |
| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D041761 | Cholecystolithiasis |
| D005705 | Gallbladder Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001649 | Bile Duct Diseases |
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