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Publication Metadata only Comparison of Radial Echoendoscopy and Predictive Factors in the Evaluation of Patients with Suspected Choledocholithiasis(2021-06-01) Patarapong Kamalaporn; Supphamat Chirnaksorn; Sasivimol Rattanasiri; Taya Kitiyakara; Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityObjective: The aim of this study was to compare predictive factors and endoscopic ultrasound (EUS) in the diagnosis of choledocholithiasis. Materials and Methods: Patients with suspected choledocholithiasis were recruited from April 2011 to January... choledocholithiasis. Using the findings of ERCP as the gold standard, radial EUS had a sensitivity and specificity for the detection of choledocholithiasis of 90.2% and 97.4%, and for choledocholithiasis and/or common bile duct sludge 92.7% and 100%, respectivelyPublication Open Access Diagnostic yield of endoscopic ultrasonography in patients with intermediate or high likelihood of choledocholithiasis: a retrospective study from one university-based endoscopy center(2014) Varayu Prachayakul; Pitulak Aswakul; Patommatat Bhunthumkomol; Morakod Deesomsak; Mahidol University. Faculty of Medicine Siriraj Hospital. Department of Internal MedicineBackground: Diagnosis of choledocholithiasis requires clinical manifestations and imaging examination findings suggesting a stone in the common bile duct (CBD), but these factors are not highly sensitive or specific. The choledocholithiasis... management algorithm proposed by the American Society for Gastrointestinal Endoscopy (ASGE) may not be appropriate for patients who fulfill the clinical criteria for a high likelihood of choledocholithiasis. Endoscopic ultrasonography (EUS) may replacePublication Metadata only Diagnostic yield of endoscopic ultrasonography in patients with intermediate or high likelihood of choledocholithiasis: A retrospective study from one university-based endoscopy center(2014-09-26) Varayu Prachayakul; Pitulak Aswakul; Patommatat Bhunthumkomol; Morakod Deesomsak; Mahidol University; Samitivej Hospital (Sukhumvit); Thammasat University Hospital© 2014 Prachayakul et al.; licensee BioMed Central Ltd. Background: Diagnosis of choledocholithiasis requires clinical manifestations and imaging examination findings suggesting a stone in the common bile duct (CBD), but these factors are not highly... sensitive or specific. The choledocholithiasis management algorithm proposed by the American Society for Gastrointestinal Endoscopy (ASGE) may not be appropriate for patients who fulfill the clinical criteria for a high likelihood of choledocholithiasisPublication Metadata only Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: a Systematic Review and Meta-analysis(2018-12-01) Karn Wijarnpreecha; Panadeekarn Panjawatanan; Wuttiporn Manatsathit; Wisit Cheungpasitporn; Surakit Pungpapong; Frank J. Lukens; Patompong Ungprasert; University of Nebraska Medical Center; Faculty of Medicine, Siriraj Hospital, Mahidol University; University of Mississippi Medical Center; Mayo Clinic in Jacksonville, Florida; Chiang Mai University; Bassett Medical Center© 2018, The Society for Surgery of the Alimentary Tract. Background/Objectives: Studies have suggested that the presence of juxtapapillary duodenal diverticula (JDD) could be a predisposing factor for choledocholithiasis. This systematic review... that reported odd ratios (OR) comparing the risk of choledocholithiasis among individuals with JDD versus individuals without JDD were included. Pooled OR and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance methodPublication Metadata only A same day approach for choledocholithiasis using endoscopic stone removal followed by laparoscopic cholecystectomy: A retrospective study(2009-01-01) Thawatchai Akaraviputh; Thitipong Rattanapan; Varut Lohsiriwat; Asada Methasate; Somkiat Aroonpruksakul; Darin Lohsiriwat; Mahidol UniversityObjective: The timing of minimally invasive approach of choledocholithiasis, using endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC), is challenging. The aim of the present retrospective study was to assess... the feasibility and safety of endoscopic stone removal for choledocholithiasis followed by same-day LC. Material and Method: Between October 2005 and February 2007, 27 patients diagnosed with choledocho-lithiasis were treated with this approach. Of these patientsPublication Metadata only Outcomes of laparoscopic common bile duct exploration by chopstick technique in choledocholithiasis(2021-04-01) Tharathorn Suwatthanarak; Thawatchai Akaraviputh; Chainarong Phalanusitthepha; Vitoon Chinswangwatanakul; Asada Methasate; Jirawat Swangsri; Atthaphorn Trakarnsanga; Thammawat Parakonthun; Voraboot Taweerutchana; Nicha Srisuworanan; Siriraj HospitalBackground and Objectives: Laparoscopic cholecystec-tomy with common bile duct exploration (LC with LCBDE) remains the preferred technique for difficult common bile duct stone (CBDS) removal. The chopstick method uses commonly available instruments and may be cost-saving compared to other techniques. We studied the outcome of LCBDE using the chopstick technique to determine if it could be considered a first-choice method. Methods: Data from all patients that underwent LCBDE from January 1, 2012 to April 30, 2019 were retrospectively analyzed. A standard 4-port incision and CBDS permitted extraction with two laparoscopic instruments by chopstick technique via vertical choledochotomy. Demographic data, stone clearance rate, surgical outcomes, complications, and other associated factors were evaluated. Results: Thirty-two patients underwent LCBDE. The mean number of preoperative endoscopic retrograde cholangiopancreatography (ERCP) sessions was 2.4. In 65.5% of cases, the CBDS was completely removed by the chopstick technique, while 96.9% of stones were removed after using additional tools. The need for additional instruments was associated with increased age, increased numbers of stones, longer period from the latest ERCP session, and previous upper abdominal sur-gery. The conversion rate to open surgery was 28.1% and was significantly associated with a history of upper abdominal surgery. Conclusion: The chopstick technique is a good alternative and could be considered as a first-line technique in LCBDE to remove the CBDS in cases with 1 to 2 large suprapancreatic CBDS due to instrument availability, cost-effectiveness, and comparable surgical outcomes.Publication Metadata only Predictive Factors for Synchronous Common Bile Duct Stone in Patients with Symptomatic Cholelithiasis(2004-02-01) Phunchai Charatcharoenwitthaya; Sathaporn Manatsathit; Somchai Leelakusolvong; Pairoj Leungrojanakul; Supot Pongprasobchai; Yudhtana Sattawatthamrong; Tawesak Tanwandee; Udom Kachintorn; Sasiprapa Boonyapisit; Mahidol University, The management of choledocholithiasis in the laparoscopic era remain debatable. Although pre-operative endoscopic cholangiopancreatography (ERCP) is available and highly accurate in the detection of CBD stones, its routine use is controversial because of its