Clinical Outcomes of Cholangioscopy as a Minimally Invasive Intervention for Common Bile Duct Stones

Authors

  • Septy Rianty Salsabilla Dwi Putri Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Reza Rizwandipa Wahyudi Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Devi Shanti Prameswari Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Rizky Ary Dwiandika Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Ridha Tahriani Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Ruhania Najwa Salsabila Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Cantika Brilian Sena Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Diaz Azhalea Jibriel Student in the Medical Education Program at the University of Mataram, Indonesia’s Faculty of Medicine and Health Sciences
  • Catarina Budyono Department of Internal Medicine, Medical Education Study Program, Faculty of Medicine and Health Sciences, University of Mataram, Indonesia

DOI:

https://doi.org/10.24871/2622025176-183

Keywords:

Diagnosis, cholangioscopy, choledocholithiasis, therapy

Abstract

Choledocholithiasis is a condition of obstruction in the bile duct due to stones, which is classified into primary and secondary. Primary choledocholithiasis occurs due to obstruction of bile flow that triggers stone formation, while the secondary form is caused by gallstones that have formed previously and moved to the common bile duct, causing obstruction. This condition can cause various serious complications that require different treatments. This article discusses the role of cholangioscopy as a minimally invasive intervention in the diagnosis and therapy of choledocholithiasis. The results of the study showed that cholangioscopy plays an important role in endoscopic therapy and lithotripsy. However, the availability of cholangioscopy equipment in Indonesia is still limited, so its current use is more as a supporting procedure for Endoscopic Retrograde Cholangiopancreatography (ERCP). The purpose of this study was to evaluate the clinical effectiveness of cholangioscopy in the treatment of choledocholithiasis, especially in complex cases that are difficult to treat with conventional methods.

References

Hartanto P, Susanto H, Setiawan E. Prevalence of choledocholithiasis in Indonesia: a review. Indones J Gastroenterol. 2021;22(1):45-51. https://doi.org/10.20473/ijg.2021.22.1.45

Pratama S, Lestari N, Nugroho S. The impact of metabolic syndrome on the prevalence of choledocholithiasis among the elderly in Indonesia. J Clin Gastroenterol. 2022;56(2):112-8. Available from: https://www.jcgastro.org/article/view/choledocholithiasis-indonesia

Renaldi K, Firman FH. Current diagnosis and treatment of choledocholithiasis. Indones J Gastroenterol Hepatol Dig Endosc. 2024.

McNicoll CF, Pastorino A, Farooq U, et al. Koledokolitiasis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. [updated 2023 Jul 10]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441961/

Susilo J, Wibowo BT, Tinasari Y, et al. Case study: gallstones (cholelithiasis) in long-tailed macaques (Macaca fascicularis). J Medika Veterinaria. 2021;15(2).

Amelia DN. Gambaran pasien koledokolitiasis di Bagian Bedah Digestif RSUP Dr. Hasan Sadikin Bandung periode Januari 2016–Desember 2019.

Adhata AR, Mustofa S, Soleha TU. Diagnosis dan tatalaksana kolelitiasis. 2022;12(Apr):75-8.

Rivai MI, Lalisang A, Nugroho A, et al. Konsensus Perhimpunan Dokter Spesialis Bedah Digestif Indonesia tentang pedoman diagnosis dan tatalaksana batu saluran empedu. J Indones Med Assoc. 2024;74(2):51-63. https://doi.org/10.47830/jinma-vol.74.2-2024.1188

Tringali A, Costa D, Fugazza A, et al. Endoscopic management of difficult common bile duct stones: where are we now? A comprehensive review. World J Gastroenterol. 2021;27(44):7597-611. https://doi.org/10.3748/wjg.v27.i44.7597

Ayoub F, Yang D, Draganov PV. Cholangioscopy in the digital era. Transl Gastroenterol Hepatol. 2018;1-10. https://doi.org/10.21037/tgh.2018.10.08

Costi R. Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World J Gastroenterol. 2014;20(37):13382. https://doi.org/10.3748/wjg.v20.i37.13382

Fung BM, Pitea TC. Removal of giant choledocholithiasis by direct cholangioscopy with gastroscope and electrohydraulic lithotripsy. Clin Gastroenterol Hepatol. 2023;21(3):A15-6. https://doi.org/10.1016/j.cgh.2022.07.026

Galetti F, Moura DTH, Ribeiro IB, et al. Cholangioscopy-guided lithotripsy vs conventional therapy for complex bile duct stones: a systematic review and meta-analysis. Arq Bras Cir Dig. 2020;33(1):e1491. https://doi.org/10.1590/0102-672020190001e1491

van der Veld J, van Huijgevoort NCM, Boermeester MA, et al. A systematic review of advanced endoscopy-assisted lithotripsy for retained biliary tract stones: laser, electrohydraulic or extracorporeal shock wave. Endoscopy. 2018;50(9):896-909. https://doi.org/10.1055/a-0637-8806

Sanders DJ, Bomman S, Krishnamoorthi R, Kozarek RA. Endoscopic retrograde cholangiopancreatography: current practice and future research. World J Gastrointest Endosc. 2021;13(8):260.

Mauro A, Mazza S, Scalvini D, et al. The role of cholangioscopy in biliary diseases. Diagnostics. 2023;13(18):2933.

Korrapati P, Ciolino J, Wani S, et al. The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis. Endosc Int Open. 2016;4:E263-75.

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Published

2025-08-15

How to Cite

Putri, S. R. S. D., Wahyudi, R. R., Prameswari, D. S., Dwiandika, R. A., Tahriani, R., Salsabila, R. N., … Budyono, C. (2025). Clinical Outcomes of Cholangioscopy as a Minimally Invasive Intervention for Common Bile Duct Stones. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 26(2), 176–183. https://doi.org/10.24871/2622025176-183

Issue

Vol. 26 No. 2 (2025): VOLUME 26, NUMBER 2, August, 2025

Section

Review Article

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