Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 3, Number 2, April 2010, pages 74-78

ERCP in Patients With Sickle Cell Disease: Diagnostic and Therapeutic Dilemmas

Figures

Figure 1.
Figure 1. ERCP showing dilated bile ducts with stones in two different patients.
Figure 2.
Figure 2. ERCP showing normal bile ducts with a stone in the lower CBD in one and multiple stones in the other.
Figure 3.
Figure 3. ERCP showing dilated bile ducts without an obstructive cause. Note the nasobiliary tube for drainage.
Figure 4.
Figure 4. ERCP for two patients showing bile leak from the cystic duct (dotted arrow) and a stone in the bile ducts (solid arrow) following laparoscopic cholecystectomy in one and dilated bile ducts with stones in the lower CBD in another.
Figure 5.
Figure 5. ERCP showing extraction of common bile duct stone.

Tables

Table 1. ERCP Findings in Patients With Cholestatic Jaundice Only (79 Patients)
 
FindingsNo. of patients%
Normal4557
Dilated CBD without stones1113.9
Dilated CBD with stones1012.7
Dilated CBD ducts with stones67.6
Dilated bile ducts without stones11.3
Dilated CBD without stones11.3
Normal CBD with stones11.3
Edematous inflamed papilla45.1

 

Table 2. ERCP Findings in Patients With Cholestatic Jaundice and Dilated Bile Ducts on Ultrasound (103 Patients)
 
FindingsNo. of patients%
Normal1716.5
Dilated CBD without stones1716.5
Dilated CBD with stones3029.13
Dilated bile ducts without stones1110.7
Dilated bile ducts with stones1716.5
Normal CBD with a stone10.98
Choledochduodenal fistula21.94
Edematous inflamed papilla87.8

 

Table 3. ERCP Findings in Patients With Cholestatic Jaundice and Bile Duct Stones (42 Patients)
 
FindingsNo. of patients%
Normal24.8
Dilated CBD without stones716.7
Dilated CBD with stones1433.3
Dilated bile ducts without stones716.7
Dilated bile ducts with stones716.7
Normal CBD with a stone12.4
Edematous inflamed papilla49.5

 

Table 4. Therapeutic Procedures During ERCP
 
ProcedureNo. of patients%
Endoscopic sphincterotomy4218.8
Endoscopic sphincterotomy and stone extraction7935.3
Insertion of biliary stent83.6
Endoscopic sphincterotomy, mechanical lithortipsy and stone extraction41.8
Insertion of a nasobiliary tube41.8