Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis

doi:10.16139/j.1007-9610.2020.06.008

Abstract

Abstract:

Objective To investigate the safety and feasibility of endoscopic retrograde cholangiopancreatography (ERCP) combined with SpyGlass digital system (DS) choledochoscope in the treatment of gallbladder neck stones and acute cholecystitis. Methods The clinical data of 11 patients with gallbladder neck stone and acute cholecystitis were retrospectively analyzed for the treatment using ERCP combined with SpyGlass DS choledochoscope in the Department of Gastroenterology our hospital from September 2017 to May 2020. Results There were 11 patients including 6 cases with gallbladder neck stones and acute cholecystitis, 4 cases with choledocholithiasis and gallbladder neck stones and suppurative cholecystitis, and 1 case with Mirrizi syndrome and suppurative cholecystitis. All the removal of gallbladder neck stones for 11 cases was successful by endoscopy. ERCP time was (30.0±19.9) (24-71) min with SpyGlass DS time (13.0±6.4) (5-25) min, postoperative feeding time (2.8±1.0) (2-5) d and hospital stay (6.3±1.6) (5-10) d. Postoperative symptoms and complication were mild. Conclusions ERCP combined with SpyGlass DS choledochoscope in treatment of gallbladder neck stone and acute cholecystitis would be safe and feasible.

Key words: Endoscopic retrograde cholangiopancreatography, SpyGlass digital system choledochoscope, Gallbladder neck stone, Acute cholecystitis, Choledocholithiasis

CLC Number:

R657.4

WANG Hongguang, TAO Liying, GUO Qingmei. Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis[J]. Journal of Surgery Concepts & Practice, 2020, 25(06): 481-485.

Figures/Tables 2

References 11

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病人	年龄（岁）	性别	胆囊颈结石直径（mm）	胆总管结石直径（mm）	ERCP时间（min）	Spy镜操作时间（min）	术后开始进食时间（d）	住院时间（d）	症状和并发症	随访时间（个月）	结石复发
1	67	男	6.2	7.9	36	12	2	5		32	无
2	72	女	9.5	6.2	67	25	3	6		29	无
3	72	男	10.2	7.4	48	22	4	8	发热、胆管炎	27	无
4	60	男	8.7	5.1	37	8	2	5		25	无
5	68	男	3.6	4.9	38	13	3	7		20	无
6	56	男	4.2	9.8	45	20	4	8	高淀粉酶血症	16	无
7	45	女	5.8	12.2	36	7	2	5		15	无
8	53	女	8.9	无	71	15	5	10	高淀粉酶血症	8	无
9	83	男	3.2	7.8	28	7	2	5		7	无
10	66	男	1.8	10.8	42	5	2	6		7	无
11	68	女	2.4	7.9	24	9	2	5		6	无

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