A comparative study of surgery and endoscopy for the treatment of bile duct stricture in patients with chronic pancreatitis.

Surgical Endoscopy
Jean-Marc RegimbeauRichard Delcenserie

Abstract

This study aimed to compare the outcomes of endoscopic treatment (ET) and surgical treatment (ST) for common bile duct (CBD) stricture in patients with chronic pancreatitis (CP). From 2004 to 2009, 39 patients (35 men and 4 women; median age, 52 years; range, 38-66 years) were referred for CBD stricture in CP. Of these 39 patients, 33 (85 %) underwent primary ET, and 6 underwent primary ST. Treatment success was defined in both groups as the absence of signs denoting recurrence, with normal serum bilirubin and alkaline phosphatase levels after permanent stent removal in ET group. The follow-up period was longer than 12 months for all the patients. For the patients treated with ET, the mean number of biliary procedures was 3 (range, 1-10) per patient including extractible metallic stents in 35 % and multiple plastic stents in 65 % of the patients. The mean duration of stent intubation was 11 months. The surgical procedure associated with biliary drainage (4 choledochoduodenostomies, 1 choledochojejunostomy, and 1 biliary decompression within the pancreatic head) was a Frey procedure for five patients and a pancreaticojejunostomy for one patient. The overall morbidity rate was higher in the ST group. The total hospital length of ...Continue Reading

References

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Dec 19, 2009·BMC Gastroenterology·Petra G A van BoeckelPeter D Siersema

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Citations

Jan 18, 2013·World Journal of Gastroenterology : WJG·Beata Jabłońska
Nov 22, 2013·World Journal of Gastroenterology : WJG·Jean-Marc Dumonceau, Carlos Macias-Gomez
Dec 2, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Michelle A AndersonDavid C Whitcomb
Dec 11, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Lionel RebiboJean-Marc Regimbeau
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Todd H Baron, Tomas Davee
Jan 2, 2016·The Indian Journal of Surgery·Dilip Parekh, Sathima Natarajan
Jan 24, 2015·Current Gastroenterology Reports·Tarun Rustagi, Priya A Jamidar
Mar 12, 2017·Gastrointestinal Endoscopy·Bing HuXiao Zheng
Mar 20, 2015·The Cochrane Database of Systematic Reviews·Usama Ahmed AliMarja A Boermeester
Nov 11, 2019·Abdominal Radiology·Krishna Prasad ShanbhogueAvinash Kambadakone

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