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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastrointest Surg. Jun 27, 2013; 5(6): 210-215
Published online Jun 27, 2013. doi: 10.4240/wjgs.v5.i6.210
Published online Jun 27, 2013. doi: 10.4240/wjgs.v5.i6.210
Topical nitrate drip infusion using cystic duct tube for retained bile duct stone: A six patients case series
Masatoshi Shoji, Hiroshi Sakuma, Yutaka Yoshimitsu, Tsutomu Maeda, Masuo Nakai, Hiroshi Ueda, Department of Surgery, Hoju Memorial Hospital, Nomi, Ishikawa 923-1226, Japan
Author contributions: Shoji M, Sakuma H and Yoshimitsu Y designed the report; Shoji M, Sakuma H and Yoshimitsu Y were attending doctors for patients; Maeda T, Nakai M and Ueda H organized the report; Shoji M wrote paper.
Correspondence to: Masatoshi Shoji, MD, Department of Surgery, Hoju Memorial Hospital, 11-71 Midorigaoka, Nomi, Ishikawa 923-1226, Japan. pignite@me.com
Telephone: +81-761-515551 Fax: +81-761-515557
Received: April 6, 2013
Revised: May 22, 2013
Accepted: June 1, 2013
Published online: June 27, 2013
Processing time: 78 Days and 17.5 Hours
Revised: May 22, 2013
Accepted: June 1, 2013
Published online: June 27, 2013
Processing time: 78 Days and 17.5 Hours
Core Tip
Core tip: In 6 cases in which a retained stone was detected following cholecystectomy, topical nitrate drip infusion via cystic duct tube (C-tube) was carried out. Retained stones of 2-3 mm diameter with no dilated common bile duct in 3 patients were removed by drip infusion of glyceryl trinitrate or isosorbide dinitrate. Three other cases failed, and endoscopic sphincterotomy in 2 cases and endoscopic biliary balloon dilatation in 1 case were performed. The topical nitrate drip infusion via C-tube is old but safe, easy, and inexpensive procedure for retained stone following cholecystectomy, inasmuch as removal rate was about 50% in our cases.