Status:

NOT_YET_RECRUITING

Management for Concomitant Gallstones and Common Bile Duct Stones.

Lead Sponsor:

Assiut University

Conditions:

Calculus Biliary

Eligibility:

All Genders

16-70 years

Phase:

NA

Brief Summary

Choledocholithiasis is identified in approximately 3-10 % of patients with cholelithiasis. (1-3) While laparoscopic cholecystectomy (LC) is considered the treatment of choice in patients with gall bla...

Detailed Description

Single stage approach Under General anaesthesia a5 trocar method will be used to access the abdominal cavity. Aconventional approach to laparoscopic cholecystectomy will be first udertaken with dissec...

Eligibility Criteria

Inclusion

  • Age 16 to 70 years; Clinical presentation with biliary colic with or without jaundice; Serum elevation of at least one of the following enzymes: aspartate aminotransferase, alanine aminotransferase, glutamyl transpeptidase, alkaline phosphatase, and total bilirubin; Radiological findings suggestive of gallstones and concomitant common bile duct stones, with abdominal ultrasound showing possible CBD stones or a dilated CBD \>8 mm in diameter.
  • only patients with MRCP evidence of a CBD stone(s) were eligible after meeting all the previous criteria.

Exclusion

  • active acute pancreatitis, pregnancy, septic shock, intrahepatic gallstones, malignant pancreatic or biliary tumors, prior sphincterotomy, unfit for anesthesia and surgery, contraindications to MRCP and ERCP, liver cirrhosis, previous history of abdominal surgery (e.g., gastrectomy), and inability to give informed consent.

Key Trial Info

Start Date :

September 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2026

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT04758923

Start Date

September 1 2024

End Date

September 1 2026

Last Update

September 4 2024

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