Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 088] Common Bile Duct Exploration In Benign Bile Duct Obstruction Where ERCP Is Not Feasible
Indah JAMTANI1 , Kenneth GUNAWAN2 , Adianto NUGROHO*1 , Rofi Y. SAUNAR1 , Aditomo WIDARSO1
1 Digestive Surgery Division, Department Of Surgery, Fatmawati General Central Hospital, INDONESIA
2 Digestive Surgery Division, Department Of Surgery, Cipto Mangunkusumo National Referral Hospital, INDONESIA
Background : In obstructive jaundice especially due to choledocholithiasis, endoscopic retrograde cholangiopancreatography (ERCP) has been the mainstay of diagnostic and treatment modality. However, in cases where ERCP is not feasible, exploration of the common bile duct (CBD), followed by constructing a biliodigestive bypass is the modality of choice. This study depicts the efficacy of CBD exploration in Fatmawati General Central Hospital from 2018-2020.
Methods : This is a retrospective descriptive study of common bile duct explorations performed at Fatmawati General Central Hospital from 2018-2020.
Results : 210 participants with an equal distribution of gender (105 female, 105 male) were enrolled in this study. The mean age for 2018, 2019, 2020 participants is 49.14±13.69 years, 47.19±12.36 years, 45.98±15.44 years, respectively. The cases requiring CBD exploration in this study include choledocholithiasis (75,7%); choledochal cyst (8,6%); biliary stricture (6,2%); cholangitis (4,7%); benign mass (1,9%); bile leakage (1,9%); biliary stenosis (1,4%); hepatolithiasis (0,95%); and Mirizzi syndrome (0,47%). The procedures conducted include CBD exploration followed by choledochoduodenostomy (71%), roux-en-Y choledochojejunostomy (29%), and T-tube placement (0,95%). It is shown that CBD exploration procedures in Fatmawati Central General Hospital are all conducted by digestive surgeons.
Conclusions : In cases where ERCP is not feasible, CBD exploration followed by biliodigestive bypass, depending on the indication, is a safe option.
Methods : This is a retrospective descriptive study of common bile duct explorations performed at Fatmawati General Central Hospital from 2018-2020.
Results : 210 participants with an equal distribution of gender (105 female, 105 male) were enrolled in this study. The mean age for 2018, 2019, 2020 participants is 49.14±13.69 years, 47.19±12.36 years, 45.98±15.44 years, respectively. The cases requiring CBD exploration in this study include choledocholithiasis (75,7%); choledochal cyst (8,6%); biliary stricture (6,2%); cholangitis (4,7%); benign mass (1,9%); bile leakage (1,9%); biliary stenosis (1,4%); hepatolithiasis (0,95%); and Mirizzi syndrome (0,47%). The procedures conducted include CBD exploration followed by choledochoduodenostomy (71%), roux-en-Y choledochojejunostomy (29%), and T-tube placement (0,95%). It is shown that CBD exploration procedures in Fatmawati Central General Hospital are all conducted by digestive surgeons.
Conclusions : In cases where ERCP is not feasible, CBD exploration followed by biliodigestive bypass, depending on the indication, is a safe option.
SESSION
E-poster
E-Session 03/23 ~ 03/25 ALL DAY