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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Firman, Fauzan Hertrisno
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Medicine & Pharmacology

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Current Diagnosis and Treatment of Choledocholithiasis Renaldi, Kaka; Firman, Fauzan Hertrisno
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 3 (2023): VOLUME 24, NUMBER 3, December, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2432023256

Abstract

The presence of gallstones in the common biliary duct is known as choledocholithiasis. Obstructive jaundice is the main clinical manifestation, which can cause acute cholangitis characterized by fever, jaundice, and right upper quadrant abdominal pain. The best diagnostic modality for choledocholithiasis is magnetic resonance cholangiopancreatography (MRCP). The treatment of choledocholithiasis involves extraction of gallstones using endoscopic retrograde cholangiopancreatography (ERCP), followed by stenting, and then cholecystectomy.
Early Versus Delayed Laparoscopic Cholecystectomyafter Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Removal of Choledocholithiasis: An Evidence-based Case Report Firman, Fauzan Hertrisno; Harianja, Gerald Abraham; Maulahela, Hasan
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 3 (2022): VOLUME 23, NUMBER 3, December 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2332022258-262

Abstract

Aim: To determine the preferred method of treatment in patients with choledocholithiasis after endoscopic retrograde cholangiopancreatography (ERCP) by evaluating efficacy of early laparascopic cholecystectomy compared to delayed laparoscopic cholecystectomy.Method: Literature searching was carried out on two databases, PubMed and Cochrane, according to the inclusion and exclusion criteria. Two randomized clinical trial (RCT) studies were appraised critically for validity, importance, and applicability.Results: Early laparascopic cholecystectomy after ERCP shows lower outcomes in incidence of recurrent choledocholithiasis, acute cholecystitis, duration of hospitalization, and treatment costs (p 0.05). Meanwhile, there was no significant difference (p 0.05) between the two groups regarding the incidence of biliary adhesions, bleeding during cholecystectomy, and laboratory parameters such as total bilirubin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and gamma glutamyl transferase (GGT).Conclusion: Early cholecystectomy, within three days after ERCP, is recommended for the treatment of choledocholithiasis after ERCP removal.
Co-Authors Harianja, Gerald Abraham Hasan Maulahela, Hasan Kaka Renaldi