Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography
Common bile duct (CBD) stones are usually caused by biliary tract infection, biliary stricture, duodenal peripapillary diverticulum, Oddis sphincter dysfunction, and so on. Treatment is preferably with endoscopic retrograde cholangiopancreatography (ERCP), where an iodine-containing contrast agent i...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_286_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849721796277829632 |
|---|---|
| author | Cui Liu Lingyun Tian Xingyu Ze Ting Yang Luowei Wang Zhaoshen Li |
| author_facet | Cui Liu Lingyun Tian Xingyu Ze Ting Yang Luowei Wang Zhaoshen Li |
| author_sort | Cui Liu |
| collection | DOAJ |
| description | Common bile duct (CBD) stones are usually caused by biliary tract infection, biliary stricture, duodenal peripapillary diverticulum, Oddis sphincter dysfunction, and so on. Treatment is preferably with endoscopic retrograde cholangiopancreatography (ERCP), where an iodine-containing contrast agent is injected into the CBD to display the stone under fluoroscopy and then to confirm complete removal of the stone(s). We described a 65-year-old woman with CBD stones who had undergone cardiac pacemaker implantation and was allergic to iodinated contrast media. We performed ERCP + lithotomy + stent implantation under local anesthesia, with injection of carbon dioxide instead of iodinated contrast into the CBD, and successfully visualized the stones under fluoroscopy and then confirmed complete removal of them. The patient was generally in good condition without complications. Thus, we have demonstrated in this case report that carbon dioxide can be used as a safe, economical, and effective alternative to iodinated contrast agent during ERCP. |
| format | Article |
| id | doaj-art-5b86fcfe6f6140d389d3dab66b2723e7 |
| institution | DOAJ |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-5b86fcfe6f6140d389d3dab66b2723e72025-08-20T03:11:32ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-01-01211838510.4103/jmas.jmas_286_23Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatographyCui LiuLingyun TianXingyu ZeTing YangLuowei WangZhaoshen LiCommon bile duct (CBD) stones are usually caused by biliary tract infection, biliary stricture, duodenal peripapillary diverticulum, Oddis sphincter dysfunction, and so on. Treatment is preferably with endoscopic retrograde cholangiopancreatography (ERCP), where an iodine-containing contrast agent is injected into the CBD to display the stone under fluoroscopy and then to confirm complete removal of the stone(s). We described a 65-year-old woman with CBD stones who had undergone cardiac pacemaker implantation and was allergic to iodinated contrast media. We performed ERCP + lithotomy + stent implantation under local anesthesia, with injection of carbon dioxide instead of iodinated contrast into the CBD, and successfully visualized the stones under fluoroscopy and then confirmed complete removal of them. The patient was generally in good condition without complications. Thus, we have demonstrated in this case report that carbon dioxide can be used as a safe, economical, and effective alternative to iodinated contrast agent during ERCP.https://journals.lww.com/10.4103/jmas.jmas_286_23carbon dioxidecommon bile duct stonedigestive system diseasesiodinated contrastminimal access surgerystonesendoscopic retrograde cholangiopancreatography |
| spellingShingle | Cui Liu Lingyun Tian Xingyu Ze Ting Yang Luowei Wang Zhaoshen Li Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography Journal of Minimal Access Surgery carbon dioxide common bile duct stone digestive system diseases iodinated contrast minimal access surgery stonesendoscopic retrograde cholangiopancreatography |
| title | Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| title_full | Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| title_fullStr | Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| title_full_unstemmed | Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| title_short | Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| title_sort | injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography |
| topic | carbon dioxide common bile duct stone digestive system diseases iodinated contrast minimal access surgery stonesendoscopic retrograde cholangiopancreatography |
| url | https://journals.lww.com/10.4103/jmas.jmas_286_23 |
| work_keys_str_mv | AT cuiliu injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography AT lingyuntian injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography AT xingyuze injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography AT tingyang injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography AT luoweiwang injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography AT zhaoshenli injectionofcarbondioxideinsteadofiodinatedcontrasttodisplaythecommonbileductduringendoscopicretrogradecholangiopancreatography |