Gallrásarsteinar eftir gallblödrutöku á Landspìtala 2008-2011

Translated title of the contribution: Choledocholithiasis after cholecystectomy at Landspìtali - The National University Hospital of Iceland 2008-2011

Thorey Steinarsdottir, Elsa B. Valsdottir*, Pall Helgi Moller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Introduction: Symptoms of choledocholithiasis can appear after cholecystectomy. Stones diagnosed during the first two years following surgery are assumed to have been present at the time of surgery. The purpose of this study was to study patients who presented with choledocholithiasis at Landspitali - The National University Hospital of Iceland, during the period 2008-2011, who had previously undergone cholecystecomy and to assess whether cholodocholithiasis is underdi-agnosed at the time of cholecystectomy. Material and methods: The study was retrospective, data was collected from medical records at Landspitali. Among recorded data were liver function tests, imaging results, time from surgery to diagnosis, treatment and complications. Results: Forty patients presented with choledocholithiasis after previous cholecystectomy. Mean age was 50 years (20-89) and women were 24 (60%). Mean time from surgery to diagnosis was 382 days. Diagnosis was confirmed with imaging in 35 (87.5% cases). Thirty six (90%) patients were treated with ERCP, one with PTC and one underwent open surgery. Three patients healed without treatment. Three patients developed complications from treatment. Thirty one (77.5%) had choledocholithiasis in the first 2 years following surgery. Incidence of previous choledocholithiasis, elevated bilirubin or widening of the choledochus without visible stones where similar for those diagnosed with choledocholithiasis in the first two years and those diagnosed later. Conclusion: Majority of patients are treated without surgery. Most stones are diagnosed during the first two years following surgery. For the majority of cases it can not be concluded that stones should have been suspected at time of cholecystectomy.

Translated title of the contributionCholedocholithiasis after cholecystectomy at Landspìtali - The National University Hospital of Iceland 2008-2011
Original languageIcelandic
Pages (from-to)299-303
Number of pages5
JournalLaeknabladid
Volume101
Issue number6
DOIs
Publication statusPublished - 2015

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