Biliary symptoms and complications more than 8 years after endoscopic sphincterotomy for choledocholithiasis

Gastroenterology
F PratJ P Etienne

Abstract

Although long-term results of endoscopic sphincterotomy (ES) have been poorly estimated, extended indications of ES have been proposed, especially in young patients. The aim of this study was to assess late biliary complications of ES. Between 1981 and 1986, 169 patients younger than age 70 (55+/-11.8 years; range, 24-70 years; male-female sex ration, 0.55) underwent ES for choledocholithiasis. One hundred fifteen patients (68%) underwent cholecystectomy. Long-term data were obtained retrospectively from the patients and general practitioners. Information was obtained for 156 patients, 2 of whom died within 1 month (one ES-related death). The mean follow-up for 154 patients was 9.6+/-3.3 years (range 8-13 years); 138 patients had no biliary symptoms. During follow-up, 16 patients experienced biliary symptoms; 2 of these patients underwent elective cholecystectomy, 3 had malignant strictures, 1 had a complicated cirrhosis, and 1 had a benign stricture related to the previous cholecystectomy. Nine patients developed potentially ES-related biliary symptoms. Second endoscopic exploration showed papillary stenosis in 3 patients (with stones in 2 patients) and recurrent bile duct stones in 3 others. Two patients had sine materia chol...Continue Reading

Citations

Jul 16, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jennifer LaFeminaDavid L Berger
Nov 1, 2011·World Journal of Gastroenterology : WJG·Dong Beom SeoJin-Woo Lee
Sep 20, 2012·Gastroenterology Research and Practice·Ju Hyun OakJin Mo Yang
Mar 27, 1998·Scandinavian Journal of Gastroenterology. Supplement·J J BergmanK Huibregtse
Dec 19, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Melissa Oliveira-CunhaGiuseppe Garcea
Feb 3, 2009·Journal of the Chinese Medical Association : JCMA·Hoi-Hung ChanHsueh-Wen Chang
Sep 23, 2014·Journal of the Chinese Medical Association : JCMA·Tzung-Jiun TsaiPing-I Hsu
Sep 29, 2011·Gastrointestinal Endoscopy·John T MapleJason A Dominitz
Jul 21, 2007·Gastrointestinal Endoscopy·Mariëlle C VeldkampMarco J Bruno
Jan 20, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Takeshi TsujinoMasao Omata
Nov 21, 2015·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Chi Hyuk Oh, Seok Ho Dong
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Djamila Boerma, Matthijs P Schwartz
Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Masanobu KageokaKentarou Ikeya
Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Akira OhashiKentaro Sugano
Jun 17, 2008·Journal of Gastroenterology and Hepatology·Shin TsuchiyaOsamu Yokosuka
Jan 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Yasutoshi KimuraYuichi Yamashita
Jul 2, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiAkihiko Tsuchida
Sep 10, 2005·Journal of Pediatric Surgery·Arnaud BonnardP de Lagausie
Oct 22, 2014·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Takemasa SenooKazuhiko Nakao
Jul 6, 2014·Journal of Gastroenterology and Hepatology·Fumihide ItokawaAkihiko Tsuchida
Aug 22, 2009·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Yoo Hum BaekByung Ik Kim
Dec 12, 2012·Gastroenterology Research and Practice·Yasuhiro ItoYuko Kitagawa
Jun 23, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Dong Woo HaHye Kyung Jeon
Sep 18, 2014·Digestive Diseases and Sciences·Yong Hwan KwonYoung Kook Yoon
Mar 23, 1999·The American Journal of Gastroenterology·M Sugiyama, Y Atomi
Sep 10, 2016·Scandinavian Journal of Gastroenterology·Jian-Shan CaiYin Bao-Bing
Nov 26, 2002·The British Journal of Surgery·S E Tranter, M H Thompson
May 2, 2002·ANZ Journal of Surgery·Christopher J MartinLisa Vaccaro
May 2, 2002·Journal of Gastroenterology and Hepatology·Kwok-Hung LaiYa-Yu Wang

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