Bile duct stone formation around a Prolene suture after cholangioenterostomy.

Qiang Li

doi:10.12669/pjms.321.8985

Abstract

The iatrogenic cause of bile duct stone formation is mainly due to suture materials, especially silk sutures. In recent years, Prolene and Vicryl sutures have been widely used in biliary surgery, and bile duct stone formation related to sutures are seemingly becoming rare, as there has only been one report of bile duct stone formation caused by Prolene sutures in the literature. In the last few years we have had two cases of Prolene suture-related bile duct stone formation within our unit. We therefore suggest that Vicryl sutures should be used as the first choice in biliary surgery, in order to prevent the formation of iatrogenic bile duct stones.

Highlights

The main cause of iatrogenic bile duct stone formation is due to the suture materials, especially silk sutures.[1]
With the development of surgical sutures such as Prolene and Vicryl sutures, which are widely used in biliary surgery, the ratio of suturerelated iatrogenic bile duct stone formation appears to have decreased significantly
There can be a number predisposing factors that can cause stone formation in the biliary duct, such as foreign bodies, benign or malignant strictures, bacterial infection, parasites, metabolic changes and unusual dietary habits.3, 4A study conducted by Justin Ban and colleagues at the Harbor General Hospital, Torrance, California and University of California Medical School, Los Angeles, California, USA, reported that non-absorbable suture materials can account for 82% of stones that form around a foreign body[5] and non-absorbable silk sutures have been found to be responsible for the majority of reported cases of stone formation.[6]

Summary

Introduction

The main cause of iatrogenic bile duct stone formation is due to the suture materials, especially silk sutures.[1]. Bile duct stone formation around a Prolene suture after cholangioenterostomy. * Final Revision Received: September 14, 2015

Results

Conclusion