Current Research in Medical Sciences

en Survey on the plastic biliary stent in the management of large or multiple common bile duct stone داخلی ( گوارش ) داخلی ( گوارش ) پژوهشی اصیل Original Article پBackground: One of the common treatments for patients with multiple or large gallstones is ERCP and plastic biliary stent placement. In this study, we aim to identify plastic biliary stent efficacy and potential factors in treatment failure in patients with multiple or large gallstones. Methods: This cross-sectional study was conducted during 2018-2019 on patients undergoing ERCP in Rouhani Babol Hospital. The patient records were obtained before the procedure, and the patients were monitored in the hospital for 24 hours afterwards. After discharge, they were followed up twice (6-8 weeks and 12-16 weeks later) to reassess the indication for ERCP and possible complications. Results: Among the 70 studied patients, the success rate of the plastic biliary stent was 88.6 percent. Stent failure was more common in patients with larger stone sizes (20.50 ± 1.29 vs 14.57 ± 3.63 millimeters, p=0.001) and longer duration of ERCP (16.25 ± 6.29 vs 9.70 ± 5.73 minutes, p=0.04). In multivariate logistic regression analysis, body mass index (BMI) (OR: 1.84, 95% CI: 1.06-3.17, p=0.02) and stone size (OR: 2.32, 95% CI: 1.01-5.32, p=0.04) were identified as risk factors for stenting failure. Conclusion: According to the results of this study, the common bile duct stenting using plastic biliary stent has a high success rate. Also, the plastic biliary stent failure was more common in patients with larger stone sizes and higher BMI.   Bile ducts, Gallstones, Endoscopic Retrograde Cholangiopancreatography, Stents 65 71 http://crms.mubabol.ac.ir/browse.php?a_code=A-10-169-2&slc_lang=en&sid=1 Pouyan Ebrahimi pouyanebi1375@gmail.com 10031947532846002445 10031947532846002445 No Student Research Committee, Babol University of Medical Science, Babol, Iran Ali Kamrani alikamraniali5@gmail.com 10031947532846002446 10031947532846002446 No Department of Internal Medicine, School of Medicine, Babol University of Medical Sciences, Babol, I.R Iran Amin Esmaeilnia Shirvani draminshirvani@gmail.com 10031947532846002447 10031947532846002447 No Student Research Committee, Babol University of Medical Science, Babol, Iran Kimia Pakdaman Kimiapakdaman123@gmail.com 10031947532846002448 10031947532846002448 No Student Research Committee, Babol University of Medical Science, Babol, Iran Ghodsieh Kamrani kamranighodsieh@gmail.com 10031947532846002449 10031947532846002449 No Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran. Javad Shokri Shirvani javadshokrishirvani@gmail.com 10031947532846002450 10031947532846002450 No Department of Internal Medicine, School of Medicine, Babol University of Medical Sciences, Babol, I.R Iran Seyed Hassan Abedi h.abedi@doctor.com 10031947532846002451 10031947532846002451 Yes Department of Internal Medicine, Rohani Hospital, Babol University of Medical Science, Babol, Iran.