Study of Clinical Profile and Management of Choledocholithiaisis

Abstract

INTRODUCTION: Choledocholithiasis is the most common cause of obstructive jaundice and occurs in about 10% of patients with symptomatic gallstone. The need for subsequent cholecystectomy in patients with gall bladder in situ after endoscopic removal of stones from the common bile duct is controversial. Performing cholecystectomy after endoscopic retrieval of stones is to prevent further biliary complications. Management strategies need to be individualized and guided by risk factors for surgery and further biliary complication. MATRIALS AND METHODS: SOURCE OF DATA Location: SKBS MEDICAL INSTITUTE & RESEARCH CENTER Study period: August 2016 – August 2017 METHODS OF STUDY An Observational study starting from August 2016 – August 2017 will be carried out in SKBS medical college hospital. xi RESULTS: Total 31 patients were included in our study. There were 16 male and 15 female with slight male predominance. 12 patients underwent open surgery and 19 patient underwent ERCP. CONCLUSION: ERCP is better in terms of post-operative pain, hospital stay and complication than open surgery with slight cost factor.