Year 2020 / Volume 112 / Number 8
Original
Differences between residual and primary choledocholithiasis in cholecystectomy patients

615-619

DOI: 10.17235/reed.2020.6760/2019

José Ruiz Pardo, Andrés García Marín, Francisco Javier Ruescas García, Miguel Jurado Román, Marcelo Scortechini, María Pilar Sagredo Rupérez, Juan Valiente Carrillo,

Abstract
Introduction: choledocholithiasis can be primary from stones originally formed in the choledocho or secondary from stones that have migrated from the gallbladder to the choledocho. The objective of this study was to determine the clinical differences between both types of choledocholithiasis in cholecystectomy patients. Material and methods: a comparative and retrospective study was performed of cholecystectomy patients who presented choledocholithiasis. Residual or secondary choledocholithiasis (group 1) was defined as those which appear in the first two years after cholecystectomy and primary choledocholithiasis (group 2) was defined as those which appear two years after cholecystectomy. Choledocholithiasis was confirmed by endoscopic retrograde cholangiopancreatography (ERCP) or surgery. Results: patients with primary choledocholithiasis (n = 14) were older (61.5 ± 20.3 vs 74.4 ± 10.5 years; p = 0.049) and had a greater body mass index (BMI) (27.7 ± 4.3 vs 31.6 ± 4.6 kg/m2; p = 0.043) and a larger extrahepatic bile duct diameter (10.7 ± 2.7 vs 14.7 ± 3.5 mm; p = 0.004) compared to patients with residual or secondary choledocholithiasis (n = 11). All patients were treated by ERCP. There were no differences between groups 1 and 2 regarding recurrences (36.2 % vs 14.3 %; p = 0.350), disease-free survival (64.6 ± 30.9 vs 52.2 ± 37.7 months; p = 0.386) and overall survival (73.6 ± 32.4 vs 54 ± 41.9 months; p = 0.084). Conclusions: patients with primary choledocholithiasis were older and had a greater BMI and a larger diameter of the bile duct compared to patients with residual or secondary choledocholithiasis. ERCP is a good therapeutic option for the resolution of both types of choledocholithiasis.
Share Button
New comment
Comments
No comments for this article
References
1. Chung EJ, Kim MH, Lee SS, et al. Primary vs. secondary common bile duct stones: apples and oranges. Endoscopy. 2003;35:92; author reply 93.
2. Wu SD, Tian Y, Kong J, et al. Possible relationship between cholecystectomy and subsequent occurrence of primary common bile duct stones: a retrospective review of data. Hepatobiliary Pancreat Dis Int. 2007;6:627-30
3. Saharia PC, Zuidema GD, Cameron JL. Primary common duct stones. Ann Surg. 1977;185:598-604.
4. Molvar C, Glaenzer B. Choledocholithiasis: Evaluation, Treatment, and Outcomes. Semin Intervent Radiol. 2016;33:268-76.
5. Jaunoo SS, Mohandas S, Almond LM. Postcholecystectomy syndrome (PCS). Int J Surg. 2010;8:15-7.
6. Priego P, Ramiro C, Molina JM, et al. Results of laparoscopic cholecystectomy in a third-level university hospital after 17 years of experience. Rev Esp Enferm Dig. 2009;101:20-30.
7. Peters X, Gannavarapu B, Gangemi A. A case report of choledocholithiasis 33 years after cholecystectomy. Int J Surg Case Rep. 2017;41:80-82.
8. Afifi el-SM, Atef H, Wael B. Agenesis of the gallbladder with primary choledocal stones. Med Princ Pract. 2006;15:379-81.
9. Nari GA, Jozami M, Ponce OH. Agenesia of the gallbladder and choledocolithiasis. Review of a case. Rev Esp Enferm Dig. 2006;98:53-4.
10. Carmona Agúndez M, López Guerra D, Fernández Pérez J, et al. Lemmel's syndrome: Obstructive jaundice secondary to a duodenal diverticulum. Cir Esp. 2017;95:550-1.
11. Marschall HU, Einarsson C. Gallstone disease. J Intern Med. 2007;261:529-42.
12. Vicari P, Gil MV, Cavalheiro Rde C, et al. Multiple primary choledocholithiasis in sickle cell disease. Intern Med. 2008;47:2169-70.
13. Kim MH, Myung SJ, Seo DW, et al. Association of periampullary diverticula with primary choledocholithiasis but not with secondary choledocholithiasis. Endoscopy. 1998;30:601-4.
14. Szary NM, Al-Kawas FH. Complications of endoscopic retrograde cholangiopancreatography: how to avoid and manage them. Gastroenterol Hepatol (N Y). 2013;9:496-504.
15. García-Cano J, González Martín JA, Morillas Ariño J, et al. Complications of endoscopic retrograde cholangiopancreatography. A study in a small ERCP unit. Rev Esp Enferm Dig 2004;96:163-73.
16. Kim DI, Kim MH, Lee SK, et al. Risk factors for recurrence of primary bile duct stones after endoscopic biliary sphincterotomy. Gastrointest Endosc. 2001;54:42-8.
Related articles

Letter

Calcifying fibrous tumor and pathological analysis

DOI: 10.17235/reed.2023.9739/2023

Letter

Endoscopic observation of a rare duodenal tumor

DOI: 10.17235/reed.2023.9679/2023

Editorial

Recent advances in the diagnosis and management of Wilson’s disease

DOI: 10.17235/reed.2023.9633/2023

Letter

Hepatosplenic T-cell lymphoma and inflammatory bowel disease

DOI: 10.17235/reed.2023.9472/2023

Letter

New technique for the endoscopic removal of long foreign bodies

DOI: 10.17235/reed.2023.9398/2022

Letter

Vaginal lesion as first manifestation of colorectal disease

DOI: 10.17235/reed.2022.9270/2022

Letter

An uncommon colonic polyp

DOI: 10.17235/reed.2022.9160/2022

Digestive Diseases Image

An unusual cause of a protuberant lesion of the gastric antrum

DOI: 10.17235/reed.2022.8771/2022

Letter

Sigmoid colon Schwannoma simulating colon cancer

DOI: 10.17235/reed.2022.8684/2022

Digestive Diseases Image

Abdominal cocoon sign: an unusual cause of intestinal obstruction

DOI: 10.17235/reed.2021.8057/2021

Letter

POEMS syndrome: an uncommon cause of peritoneal effusion

DOI: 10.17235/reed.2021.8027/2021

Digestive Diseases Image

Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia

DOI: 10.17235/reed.2020.7358/2020

Review

New non-invasive biomarkers for colorectal cancer screening

DOI: 10.17235/reed.2020.7233/2020

Editorial

Reflex testing. A key tool for the elimination of hepatitis C

DOI: 10.17235/reed.2020.7201/2020

Letter

Chilaiditi’s and Ogilvie syndromes

DOI: 10.17235/reed.2020.7036/2020

Letter

Hepatocarcinoma diagnosis. Reflection is required

DOI: 10.17235/reed.2020.6845/2019

Digestive Diseases Image

A complex case of low-phospholipid-associated cholelithiasis syndrome

DOI: 10.17235/reed.2020.6625/2019

Letter to the Editor

Sternal cutaneous metastasis of hilar cholangiocarcinoma

DOI: 10.17235/reed.2017.4979/2017

Letter to the Editor

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2017.4511/2016

Original

Neurogenic ppendicopathy. A report of 8 cases

DOI: 10.17235/reed.2017.4520/2016

Letter to the Editor

About human taeniasis and Taenia saginata diagnosis by endoscopy

DOI: 10.17235/reed.2016.4297/2016

Original

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2016.4212/2016

Case Report

Primary esophageal melanoma: report of a case

DOI: 10.17235/reed.2016.3908/2015

Letter to the Editor

Unusual course of epiploic appendicitis

DOI: 10.17235/reed.2015.3796/2015

Citation tools
Ruiz Pardo J, García Marín A, Ruescas García F, Jurado Román M, Scortechini M, Sagredo Rupérez M, et all. Differences between residual and primary choledocholithiasis in cholecystectomy patients. 6760/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 4928 visits.
This article has been downloaded 2207 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 19/11/2019

Accepted: 18/12/2019

Online First: 04/06/2020

Published: 30/07/2020

Article revision time: 26 days

Article Online First time: 198 days

Article editing time: 254 days


Share
This article has been rated by 7 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology