Follow-up 6 to 11 years after duodenoscopic sphincterotomy for stones in patients with prior cholecystectomy

Hawes, Robert H.; Cotton, Peter B.; Vallon, A G

doi:10.1016/0016-5085(90)90026-w

Cited by 192 publications

(88 citation statements)

References 19 publications

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“…Its success rate exceeds 90%, and it has been accepted as the best nonsurgical treatment for common bile duct stones [29][30][31][32][33] . However, EST is still associated with an 8%-12% rate of acute complications, such as bleeding, perforation, cholangitis, and post-procedure pancreatitis [11,25,[34][35][36][37] .…”

Section: Discussionmentioning

confidence: 99%

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

Kim¹,

Cheon²,

Cho³

et al. 2009

WJG

102

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AIM:To compare small sphincterotomy combined with endoscopic papillary large balloon dilation (SES + ELBD) and endoscopic sphincterotomy (EST) for large bile duct stones. METHODS:We compared prospectively SES + ELBD (group A, n = 27) with conventional EST (group B, n = 28) for the treatment of large bile duct stones (≥ 15 mm). When the stone could not be removed with a normal basket, mechanical lithotripsy was performed. We compared the rates of complete stone removal with one session and application of mechanical lithotripsy. CONCLUSION: SES + ELBD did not show significant benefits compared to conventional EST, especially for the removal of large (≥ 15 mm) bile duct stones. RESULTS:

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Section: Discussionmentioning

confidence: 99%

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

Kim¹,

Cheon²,

Cho³

et al. 2009

WJG

102

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“…Unfortunately, 4% to 24% of patients have recurrent CBD stones after the initial extraction of CBD stones (1)(2)(3)(4). Some patients even have multiple recurrences.…”

Section: Introductionmentioning

confidence: 99%

Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Chang

Kim²,

Kim³

et al. 2014

Turk J Gastroenterol

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Background/Aims: Some common bile duct (CBD) stones recur after endoscopic stone extraction. Little information is available on the size and recurrence interval of recurrent symptomatic CBD stones or on ways to prevent recurrence. Materials and Methods: Between January 2007 and December 2011, consecutive 481 patients undergoing endoscopic extraction of CBD stones at a single institute were enrolled. We selected 34 patients with recurrent symptomatic CBD stones and 63 patients who were followed up more than five years without recurrence. Results: The sizes of the CBD stones increased during the recurrences: 10.1±5.2 mm, 13.5±7.3 mm, and 16.8±7.8 mm at the initial presentation, the first recurrence, and the second recurrence, respectively (p=0.016). Among CBD stone recurrences, 50% occurred within 2.3 years, and 80% occurred within 5.3 years. The recurrence group had a smaller proportion of patients under 50 years of age, larger CBD diameters, less histories of more than 10 mm endoscopic papillary large-balloon dilation (EPLBD), and more type I periampullary diverticula, compared with the non-recurrence group (p<0.05). Multivariate analysis revealed that EPLBD more than 10 mm and smaller CBD diameter were independently related to less recurrence of CBD stones (p=0.001 and 0.012, respectively). Conclusion: The sizes of CBD stones increased during recurrences. EPLBD more than 10 mm and smaller CBD diameter were related to less recurrence of CBD stones.

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“…These complications have been reported in follow-up studies after endoscopic biliary sphincterotomy, with a frequency between 4% and 14% (2)(3)(4)(5)(6)(7)(8)(9). Stenosis at the site of sphincterotomy is often due to inadequate incision of the sphincter muscle, because it is less frequent after extraction of multiple or large bile duct stones than after endoscopic therapy of sphincter of Oddi dysfunction, including benign papillary stenosis, or single, small stones (5, 6).…”

mentioning

confidence: 99%

“…Indeed, reported data suggested that the risk of transmission of infection during GI endoscopy is estimated to be 1 in 1.8 million procedures (7). However, recent reports from the Centers for Disease Control and Prevention suggested that up to 270,000 infections (or 2.7% of the 10 million annual endoscopic procedures) are transmitted by flexible endoscopy annually (8).…”

mentioning

confidence: 99%

Repeat sphincterotomy: does its safety depend on the interval from the initial procedure?

Testoni

2003

Am J Gastroenterology

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Follow-up 6 to 11 years after duodenoscopic sphincterotomy for stones in patients with prior cholecystectomy

Cited by 192 publications

References 19 publications

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Repeat sphincterotomy: does its safety depend on the interval from the initial procedure?

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