ArticleWorld journal of gastroenterology2021
Could saline irrigation clear all residual common bile duct stones after lithotripsy? A self-controlled prospective cohort study.
Article in World journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Intrabiliary ultrasound applied to endoscopic extraction of choledochal stones.Asian biomedicine : research, reviews and news · 2026Article
- European Consensus Recommendations for Direct Cholangioscopy and Pancreatoscopy Using a Modified Delphi Process.United European gastroenterology journal · 2025Article
- Clinical application of indocyanine green fluorescence imaging in laparoscopic cholecystectomy with common bile duct exploration and J-Tube drainage.World journal of gastrointestinal surgery · 2025Article
- Routine Nasobiliary Cholangiography After ERCP for Choledocholithiasis May Be Unnecessary: A Single-Center Retrospective Cohort Study.International journal of general medicine · 2025Article
- Review
- Saline irrigation for reducing the recurrence of common bile duct stones after lithotripsy: a randomized controlled trial.EClinicalMedicine · 2023Article
- Stone removal by percutaneous papillary balloon dilatation for cystic duct and bile duct stones after cholecystectomy and distal gastrectomy with Roux-en-Y gastrojejunostomy.Radiology case reports · 2023Article
- Preferable timing of intraductal ultrasonography during endoscopic retrograde cholangiopancreatography lithotomy: A prospective cohort study.Frontiers in medicine · 2022Article
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA previous study showed that irrigation with 100 mL saline reduced residual common bile duct (CBD) stones, which potentially cause recurrent stones after endoscopic retrograde cholangiopancreatography.
aimTo determine whether saline irrigation can improve CBD clearance after lithotripsy.
methodsThis prospective self-controlled study enrolled patients receiving mechanical lithotripsy for large (> 1.2 cm) CBD stones. After occlusion cholangiography confirmed CBD stone clearance, peroral cholangioscopy (POC) was performed to determine clearance scores based on the number of residual stones. The amounts of residual stones spotted
resultsBetween October 2018 and January 2020, 47 patients had CBD clearance scores of 2.4 ± 1.1 without saline irrigation, 3.5 ± 0.7 with 50 mL irrigation, and 4.6 ± 0.6 with 100 mL irrigation (
conclusionIrrigation with 100 mL of saline may not clear all residual CBD stones after lithotripsy, especially in patients with PAD and/or a dilated (> 15 mm) CBD. Pigment residual stones are soft and commonly found in patients with PAD. Additional saline irrigation may be required to remove retained stones.
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