Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14356/1968
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dc.contributor.authorShah, J N-
dc.contributor.authorShah, C-
dc.date.accessioned2023-06-04T07:17:50Z-
dc.date.available2023-06-04T07:17:50Z-
dc.date.issued2011-
dc.identifier.citationShahJ. N., & ShahC. (2011). A Five Years Review Intra-Operative Cholangiogram. Journal of Nepal Health Research Council. https://doi.org/10.33314/jnhrc.v0i0.255en_US
dc.identifier.issnPrint ISSN: 1727-5482; Online ISSN: 1999-6217-
dc.identifier.urihttp://103.69.126.140:8080/handle/20.500.14356/1968-
dc.descriptionOriginal Articleen_US
dc.description.abstractAbstract Background: Intra-operative cholangiogram is often performed to detect concurrent common bile duct stones in cholecystectomy patients. Routine cholangiogram add to cost and exposes patients to unnecessary exploration of common bile duct due to frequent false positive results. Thus, there is need of better indicators for cholangiogram in order to minimize unnecessary procedure and its morbidity. Methods: A retrospective analysis of patients undergoing intra-operative cholangiogram during open or laparoscopic cholecystectomy was done at Patan Hospital from Oct 1, 2005 to Sep 31, 2009. Indications and outcome of cholangiogram were analyzed together with findings of common bile duct exploration. Results: A total of 68 (2.8%, 68/2400) intra-operative cholangiogram were done in 2400 cholecystectomy patients during five years period. Eight (11.8%, 8/68) patients had abnormal findings. Two (3%, 2/68) patients with abnormal cholangiogram had stones in common bile duct. There was no mortality in this series. Conclusions: Existing indications of intra-operative cholangiogram detects only small percentage of patients with bile duct stones and has high false positive results. This unnecessarily increases bile duct exploration, cost and morbidity. Thus, there is need to redefine indications for intra-operative cholangiogram. Keywords: biliary pancreatitis, cholecystectomy, common bile duct, intra-operative cholangiogram.en_US
dc.language.isoenen_US
dc.publisherNepal Health Research Councilen_US
dc.relation.ispartofseriesApril;255-
dc.subjectBiliary pancreatitisen_US
dc.subjectCholecystectomyen_US
dc.subjectCommon bile ducten_US
dc.subjectIntra-operative cholangiogramen_US
dc.titleA Five Years Review Intra-Operative Cholangiogramen_US
dc.typeJournal Articleen_US
Appears in Collections:Vol 9 No 1 Issue 18 April 2011

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