A common bile duct (CBD) stone, particularly when impacted at the papilla, can lead to either complete biliary obstruction and suppurative cholangitis or acute pancreatitis due to obstruction of the bilio-pancreatic outflow.
1,2Before the introduc- tion of therapeutic endoscopy, a CBD stone was removed surgically. However, surgery for suppurative cholangitis carries a significant risk of morbidity and mortality.
3In particular, an impacted papillary stone (IPS) is often difficult to remove during surgery, despite the use of a flexible choledochoscope, and a surgical sphincteroplasty is sometimes necessary.
Endoscopic papillotomy is now an established treatment for CBD stones. The
Case Review of Impacted Bile Duct Stone at Duodenal Papilla: Detection and Endoscopic Treatment
Kwang Ro Joo, 1 Jae Myung Cha, 1 Sung Won Jung, 1 Hyun Phil Shin, 1 Joung Il Lee, 1 Yu Jin Suh, 1 Sunhyung Joo, 2 and Sung-Jo Bang 3
Departments of
1Internal Medicine and
2Surgery, Kyung Hee University School of Medicine, Seoul;
3