Double Plastic Stents as a Bridging Strategy for Large Common Bile Duct Stones: A Case Report of Two Patients.

ABSTRACT:

Introduction

Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the standard treatment for common bile duct (CBD) stones. However, in 10-15% of cases involving large or multiple stones, this approach is inadequate. Advanced techniques such as lithotripsy, dilation, balloon extraction, or surgery may be required.

Case presentation

We present 2 post-cholecystectomy patients with large (>1.5 cm), multiple impacted CBD stones. Initial ERCP attempts, including sphincterotomy and 15-mm balloon dilation, failed to clear the stones. As a bridging strategy, two plastic stents (10 Fr and 7 Fr) were placed, and ursodeoxycholic acid therapy was started. On re-evaluation at 50 and 80 days, stone clearance was achieved using simple balloon extraction - without li

SUBMITTER: Gupta AK 

PROVIDER: S-EPMC12503782 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature