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[Late complications after endoscopic papillotomy]

O Friedrichs

    Medizinische Klinik
    |October 24, 1980
    PubMed
    Summary

    Two cases of gallstones in the bile duct (choledocholithiasis) with intact gallbladders are presented. Both patients experienced gallbladder perforation months after endoscopic retrograde cholangiopancreatography (ERCP), highlighting potential risks.

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    Area of Science:

    • Gastroenterology
    • Hepatobiliary Surgery

    Background:

    • Choledocholithiasis, the presence of gallstones in the common bile duct, can lead to complications.
    • Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure for managing bile duct stones.

    Observation:

    • Two cases of choledocholithiasis with the gallbladder in situ are reported.
    • Recurrent cholecystitis occurred in both patients following ERCP.

    Findings:

    • Gallbladder perforation developed in both patients within four to six months post-ERCP.
    • The study discusses the advantages and disadvantages of ERCP in managing choledocholithiasis.

    Implications:

    • These cases suggest a potential, albeit rare, complication of ERCP leading to gallbladder perforation.
    • Careful patient selection and post-procedure monitoring may be warranted for patients with choledocholithiasis undergoing ERCP.

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