Clinical study of the use of gastroscopy as oral choledochoscopy

He,Shunhui; Liu,Xuehua; Du,Guoping; Chen,Wenzhi; Ruan,Weiqing

doi:10.3892/etm.2018.6320

August-2018 Volume 16 Issue 2

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August-2018 Volume 16 Issue 2

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Article Open Access

Clinical study of the use of gastroscopy as oral choledochoscopy

Authors:
- Shunhui He
- Xuehua Liu
- Guoping Du
- Wenzhi Chen
- Weiqing Ruan
View Affiliations / Copyright

Affiliations: Department of Gastroenterology, Shunde Hospital of Southern Medical University, Foshan, Guangdong 528300, P.R. China, Department of Health Management, Nanfang Hospital, Guangzhou, Guangdong 510515, P.R. China

Copyright: © He et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 1333-1337
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Published online on: June 18, 2018

https://doi.org/10.3892/etm.2018.6320
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Abstract

Clinical value and safety of the use of gastroscopy as oral choledochoscopy in the treatment of biliary diseases was explored. Clinical data of 55 patients with biliary diseases who underwent gastroscopy were retrospectively analyzed. The types of gastroscopy, size of duodenal papilla incision, balloon dilatation, the success rate of gastroscopy entry, depth of gastroscopy entering into bile duct, endoscopic diagnosis and postoperative complications were recorded. Simple insertion-by-hand was performed, and insertion into common bile duct was successfully achieved in 53 cases, and the overall technical success rate was 96.4%. Residual bile duct stones in 25 patients (45.5%) after endoscopic retrograde cholangio-pancreatography (ERCP) were removed through endoscopy. Nine cases of benign stenosis and 2 cases of malignant stenosis were confirmed as ‘cholangiocarcinoma’ or ‘duodenal papilla well-differentiated adenocarcinoma’ by biopsy. Balloon oppression under intraoperative endoscopy was performed for 2 cases (3.6%) with biliary hemorrhage, and argon ion coagulation was successfully performed. No obvious abnormalities were found in 13 cases (23.6%) through gastroscopic biliary exploration. Complications occurred in 15 patients with a complication rate of 27.3%, including 2 cases of cholecystitis (3.6%), 8 cases of amyloidosis (14.6%) and 4 cases of acute pancreatitis (7.3%), and all those complications were cured. One case (1.8%) had perforation of biliary tract and was discharged after conservative treatment. The use of gastroscopy as oral choledochoscopy is safe as effective. However, this technique causes some rare and serious complications. Therefore, further studies are needed to improve this technique.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Clinical study of the use of gastroscopy as oral choledochoscopy

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