Do patients with recurrent choledocholithiasis after endoscopic sphincterotomy benefit from regular follow-up?

Gastrointestinal Endoscopy
Kwok-Hung LaiE-Ming Wang

Abstract

As many as 24% of patients who undergo endoscopic sphincterotomy for the removal of bile duct stones have recurrent biliary complications develop for which there is no effective method of prevention. The aim of this study was to determine whether patients who undergo routine clinical follow-up after endoscopic sphincterotomy for bile duct stones have a different outcome than those who do not. All patients who had endoscopic sphincterotomy for bile duct stones were scheduled for follow-up visits, liver function tests, and transabdominal US every 3 to 6 months. ERCP was performed whenever symptoms recurred, or abnormal liver function or US was noted. The patients themselves decided whether to adhere to the follow-up schedule; this was not a randomized trial. Seven hundred sixty-seven patients underwent endoscopic sphincterotomy for bile duct stones from October 1990 to July 1999. Seventy-seven (10%) were found to have recurrent bile duct stones. Three patients who had undergone Billroth II gastrectomy were excluded. Among the remaining 74 patients (52 men, 22 women; mean age 65 years), 42 (57%) had a juxtapapillary diverticulum and 21 (28%) an intact gallbladder. The mean time to recurrence of bile duct stones was 19.7 months (ra...Continue Reading

Citations

Jan 11, 2005·World Journal of Gastroenterology : WJG·Wen-Hsiung ChangChing-Chung Lin
Aug 21, 2020·ANZ Journal of Surgery·Jie Zhang, Xiaofeng Ling
Aug 29, 2019·Digestive Diseases and Sciences·Hiroshi YamauchiWasaburo Koizumi
Jul 15, 2005·World Journal of Gastroenterology : WJG·Wei-Lun TsaiGin-Ho Lo
Apr 12, 2006·European Journal of Gastroenterology & Hepatology·Young Koog Cheon, Glen A Lehman
Sep 7, 2019·Scandinavian Journal of Gastroenterology·Yeon-Ji KimSeonhoo Kim
Nov 12, 2002·The American Journal of Gastroenterology·Sunil G Sheth, Douglas A Howell

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