Đánh giá kết quả điều trị viêm đường mật cấp do sỏi ống mật chủ ở bệnh nhân cắt dạ dày theo Billroth II bằng nội soi mật tụy ngược dòng

Abstract

Objective: To evaluate of the results and safety of Endoscopic Retrograde Cholangio pancreatography for the treatment of acute cholangitis caused by common bile duct stones in patients with previous Billroth II gastrectomy. Subject and method: The study was performed on 42 patients with acute cholangitis due to common bile duct stones with previous Billroth II gastrectomy, treated by Endoscopic Retrograde Cholangiopancreatography at 108 Military Central Hospital over the period of June 2018 to July 2022. Result: There were 42 patients in the study with a mean age of 75.3 ± 11.6 years; The male/female ratio was 2.5/1. There were 90.5% patients with a history of Billroth II gastrectomy due to previous benign diseases. 85.7% of Billroth II gastrectomy patients were over 5 years. The successful intubation rates were 88.1%, of which 73% were cases of stone removal in the first intervention. The rate of performed gastric endoscopes and lateral view endoscopes were 67.6% and 32.4%, respectively. The proportion of endoscopic papillary large balloon dilatation was 89.2%. The rate of complications after intervention were: Acute pancreatitis (9.4%); gastrointestinal bleeding (4.8%), small bowel perforation (2.4%). There was no case of death. Conclusion: Endoscopic Retrograde Cholangiopancreatography for common bile duct stones  in patients with Billroth II gastectomy is feasible and safe.