Cargando…

The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones

OBJECTIVES: To investigate the diagnostic value of contrast-enhanced ultrasound- (CEUS-) guided contrast injection via an endoscopic nasobiliary drainage (ENBD) tube on the evaluation for residual stones in common bile duct (CBD). METHODS: 116 patients with CBD stones were treated by endoscopic retr...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Yang, Yang, Yue, Wang, Kaiming, Tang, Shaoshan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352124/
https://www.ncbi.nlm.nih.gov/pubmed/32685467
http://dx.doi.org/10.1155/2020/3281241
_version_ 1783557564382838784
author Wang, Yang
Yang, Yue
Wang, Kaiming
Tang, Shaoshan
author_facet Wang, Yang
Yang, Yue
Wang, Kaiming
Tang, Shaoshan
author_sort Wang, Yang
collection PubMed
description OBJECTIVES: To investigate the diagnostic value of contrast-enhanced ultrasound- (CEUS-) guided contrast injection via an endoscopic nasobiliary drainage (ENBD) tube on the evaluation for residual stones in common bile duct (CBD). METHODS: 116 patients with CBD stones were treated by endoscopic retrograde cholangiopancreatography and duodenoscopic sphincterotomy incision surgery and ENBD. The US group consisted of 54 patients who underwent US-guided saline injection via the ENBD tube to evaluate for residual CBD stones. The CEUS group consisted of 62 patients who underwent CEUS-guided contrast injection via the ENBD tube to evaluate for residual CBD stones. The length and width of CBD and the detection rate of residual stones before and after NS injection were compared. RESULTS: In both the US group and the CEUS group, the rate of complete demonstration and the average length and width of CBD before and after injection of NS were all increased significantly. In the US group, 6 patients had verified residual stones, 1 of which was detected by conventional US (detection rate, 1/6), 5 of which were detected by saline injection ultrasound (detection rate, 5/6), and 4 of which were detected by ENBD cholangiography (detection rate, 4/6). There was 1 false positive result on saline injection US and 2 false positives on ENBD cholangiography. In the CEUS group, 6 patients had verified residual stones, none of which were detected by conventional US (detection rate, 0/6), all of which were detected by saline injection CEUS (detection rate, 6/6), and 4 of which were detected by ENBD cholangiography (detection rate, 4/6). There was 1 false positive result on ENBD cholangiography. CONCLUSIONS: CEUS-guided contrast injection via an ENBD tube helps to provide clear observation of residual stones in the CBD after ERCP with EST and provides comprehensive information for follow-up.
format Online
Article
Text
id pubmed-7352124
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-73521242020-07-17 The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones Wang, Yang Yang, Yue Wang, Kaiming Tang, Shaoshan Biomed Res Int Research Article OBJECTIVES: To investigate the diagnostic value of contrast-enhanced ultrasound- (CEUS-) guided contrast injection via an endoscopic nasobiliary drainage (ENBD) tube on the evaluation for residual stones in common bile duct (CBD). METHODS: 116 patients with CBD stones were treated by endoscopic retrograde cholangiopancreatography and duodenoscopic sphincterotomy incision surgery and ENBD. The US group consisted of 54 patients who underwent US-guided saline injection via the ENBD tube to evaluate for residual CBD stones. The CEUS group consisted of 62 patients who underwent CEUS-guided contrast injection via the ENBD tube to evaluate for residual CBD stones. The length and width of CBD and the detection rate of residual stones before and after NS injection were compared. RESULTS: In both the US group and the CEUS group, the rate of complete demonstration and the average length and width of CBD before and after injection of NS were all increased significantly. In the US group, 6 patients had verified residual stones, 1 of which was detected by conventional US (detection rate, 1/6), 5 of which were detected by saline injection ultrasound (detection rate, 5/6), and 4 of which were detected by ENBD cholangiography (detection rate, 4/6). There was 1 false positive result on saline injection US and 2 false positives on ENBD cholangiography. In the CEUS group, 6 patients had verified residual stones, none of which were detected by conventional US (detection rate, 0/6), all of which were detected by saline injection CEUS (detection rate, 6/6), and 4 of which were detected by ENBD cholangiography (detection rate, 4/6). There was 1 false positive result on ENBD cholangiography. CONCLUSIONS: CEUS-guided contrast injection via an ENBD tube helps to provide clear observation of residual stones in the CBD after ERCP with EST and provides comprehensive information for follow-up. Hindawi 2020-07-01 /pmc/articles/PMC7352124/ /pubmed/32685467 http://dx.doi.org/10.1155/2020/3281241 Text en Copyright © 2020 Yang Wang et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wang, Yang
Yang, Yue
Wang, Kaiming
Tang, Shaoshan
The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title_full The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title_fullStr The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title_full_unstemmed The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title_short The Value of Contrast-Enhanced Ultrasound-Guided Contrast Injection via the Endoscopic Nasobiliary Drainage Duct in Diagnosing Residual Common Bile Duct Stones
title_sort value of contrast-enhanced ultrasound-guided contrast injection via the endoscopic nasobiliary drainage duct in diagnosing residual common bile duct stones
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352124/
https://www.ncbi.nlm.nih.gov/pubmed/32685467
http://dx.doi.org/10.1155/2020/3281241
work_keys_str_mv AT wangyang thevalueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT yangyue thevalueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT wangkaiming thevalueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT tangshaoshan thevalueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT wangyang valueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT yangyue valueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT wangkaiming valueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones
AT tangshaoshan valueofcontrastenhancedultrasoundguidedcontrastinjectionviatheendoscopicnasobiliarydrainageductindiagnosingresidualcommonbileductstones