Management of Cholelithiasis with Concomitant Choledocholithiasis

Authors

  • Ardhitio Musthafa Akmal Faculty of Medicine Universitas Mataram – West Nusa Tenggara, Indonesia
  • Budhiarko Pramana Putra Faculty of Medicine Universitas Mataram – West Nusa Tenggara, Indonesia
  • Cokorda Istri Agung Asvini Darmaningrat Faculty of Medicine Universitas Mataram – West Nusa Tenggara, Indonesia
  • I Gusti Ayu Ratih Chantika Nariswari Faculty of Medicine Universitas Mataram – West Nusa Tenggara, Indonesia
  • Lalu Dio Srigede Faculty of Medicine Universitas Mataram – West Nusa Tenggara, Indonesia
  • Catarina Budyono Department of Internal Medicine, Faculty of Medicine Universitas Mataram – West Nusa Tenggara General Hospital, Indonesia

Keywords:

Cholelithiasis, Choledocholithiasis, Management

Abstract

Cholelithiasis refers to a condition in which hardened deposits exist within the gall bladder. These deposits are also known as gallstones. Among other gastrointestinal diseases, Cholelithiasis is associated with the highest hospital admissions. Those with cholelithiasis are generally asymptomatic. However, symptoms may start to appear in the case of inflammation or the blockage of the bile duct, which occurs in 10-25% of patients with cholelithiasis. The condition in which gallstones are present in the common bile duct is known as choledocholithiasis. Surgery is a curative therapy for cholelithiasis concomitant with choledocholithiasis. Other available options include laparoscopy, endoscopy, percutaneous technique, and open surgery. These methods can be done gradually or in combination. Considering this, there have been controversies about the best management option for the case. Therefore, this article aims to analyze and compare each methods of management.

References

Littlefield A, Lenahan C. Cholelithiasis: Presentation and management. J Midwifery Women’s Heal. 2019;64(3):289–97.

Cianci P, Restini E. Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World J Gastroenterol. 2021;27(28):4536–54.

Gutt C, Schläfer S, Lammert F. The treatment of gallstone disease. Dtsch Arztebl Int. 2020;117(9):148–58.

Tuuk ALZ, Panelewen J, Noersasongko AD. Profil kasus batu empedu di RSUP Prof . Dr . R . D . Kandou Manado periode Oktober 2015-Oktober 2016. J e-Clinic. 2016;4(2):2–7.

Abdullah AA, Abdullah M, Fauzi A, Syam AF, Simadibrata M, Makmun D. The effectiveness of endoscopic retrograde cholangio- pancreatography in the management of patients with jaundice at cipto mangunkusumo hospital, jakarta. Indones J Intern Med. 2012;44(4)298-303.

Singh AN, Kilambi R. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with gallbladder stones with common bile duct stones: systematic review and meta-analysis of randomized trials with trial sequential analysis. Surg Endosc [Internet]. 2018;32(9):3763–76. Available from: http://dx.doi.org/10.1007/s00464-018-6170-8

Prasson P, Bai X, Zhang Q, Liang T. One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi: a systemic review and meta-analysis. Surg Endosc. 2016;30(8):3582–90.

Memba R, González S, Coronado D, et al. Single-stage approach for the management of choledocolithiasis with concomitant cholelithiasis. Implementation of a protocol in a secondary hospital. Surgeon. 2019;17(6):351–9.

Muhammedoğlu B. Single-stage treatment with ERCP and laparoscopic cholecystectomy versus two-stage treatment with ERCP followed by laparoscopic cholecystectomy within six to eight weeks: a retrospective study. Turkish J Surg. 2019;35(3):178–84.

Muhammedoğlu B, Kale IT. Comparison of the safety and efficacy of single-stage endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy versus two-stage ERCP followed by laparoscopic cholecystectomy six-to-eight weeks later: A randomized controlled trial. Int J Surg. 2020;76(November 2019):37–44.

Lv F, Zhang S, Ji M, Wang Y, Li P, Han W. Single-stage management with combined tri-endoscopic approach for concomitant cholecystolithiasis and choledocholithiasis. Surg Endosc. 2016;30(12):5615–20.

Bayramov NY, Aslanova KD, Rustam AM. Comparison of open, laparo-endoscopic and one-stage laparoscopic approaches for treatment of gallbladder and common bile duct stones. Azerbaijan Med J. 2017;24(3):85–93.

Kim SS, Donahue TR. Laparoscopic cholecystectomy. JAMA - J Am Med Assoc. 2018;319(17):1834.

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Published

2022-04-08

How to Cite

Akmal, A. M., Putra, B. P., Darmaningrat, C. I. A. A., Nariswari, I. G. A. R. C., Srigede, L. D., & Budyono, C. (2022). Management of Cholelithiasis with Concomitant Choledocholithiasis. Acta Medica Indonesiana, 54(1), 151. Retrieved from https://actamedindones.org/index.php/ijim/article/view/1919

Issue

Vol. 54 No. 1 (2022): Acta Medica Indonesiana

Section

CLINICAL PRACTICE

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