NCT06092905

Endoscopic Common Bile Duct Stones Clearance During Pregnancy

Endoscopic Common Bile Duct Stones Clearance During Pregnancy: Challenges and Solutions

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 30 (estimated)
• Sponsor: South Valley University · Academic / Other
• Sex: Female
• Age: 18 Years – 50 Years
• Healthy volunteers: —

Summary

Background: Pregnancy is associated with a higher risk of common bile duct stones. Currently Endoscopic Retrograde Cholangiopancreatography (ERCP) is the treatment of choice for symptomatic choledocholithiasis. However, ERCP during pregnancy is associated with hazards of radiation exposure, as well as challenging patient positioning and anesthesia

Detailed description

This is a retrospective analysis of endoscopic common bile duct stone clearance in pregnant patients with symptomatic choledocholithiasis between June 2015 and June 2023. Sedation and anesthesia was done by safe medications by senior anesthetist, and the endoscopic procedure was performed in left lateral decubitus instead of prone position. The gravid uterus was kept away from the monopolar electrocautery current pathway. Radiocontrast injection and fluoroscopy was deleted and replaced by trans-abdominal US and endoscopic bile aspiration Data including perioperative outcomes and follow up data will collected, tabulated and analyzed.

Conditions

• Common Bile Duct Calculi

Interventions

Type	Name	Description
OTHER	Endoscopic clearance of common bile duct stones	Under general anesthesia, in left lateral decubitus, endoscopic clearance of common bile duct stones was done. Ultrasonography was used to ensure right positioning of the guide wire in the common bile duct, and ensure stone clearance.

Timeline

• Start date: 2023-04-01
• Primary completion: 2023-11-01
• Completion: 2023-12-01
• First posted: 2023-10-23
• Last updated: 2023-10-23

Locations

1 site across 1 country: Egypt