Effect of endoscopic sphincterotomy and interval cholecystectomy on late outcome after gallstone pancreatitis

The British Journal of Surgery
L E HammarströmI Ihse

Abstract

Endoscopic sphincterotomy alone, or followed by cholecystectomy, are options in patients with gallstone pancreatitis. Ninety-six patients of median age 74 (range 30-93) years with gallstone pancreatitis had endoscopic retrograde cholangiography and were followed for a median of 84 (range 33-168) months. Forty-eight of 49 patients with, and nine of 47 without, common bile duct (CBD) stones had urgent endoscopic sphincterotomy. One patient with, and six without, CBD stones had delayed endoscopic sphincterotomy a median of 35 (range 12-111) days after acute pancreatitis. Thus, 64 patients had endoscopic sphincterotomy (group 1) and 32 did not (group 2). Fifteen and 16 patients in each group respectively had interval cholecystectomy after a median of 3 months and 1 month. Patients in groups 1 and 2 had similar rates of interval cholecystectomy (15 of 64 versus 16 of 32 patients respectively) or required cholecystectomy (15 of 49 versus five of 16 patients), recurrent CBD calculi (three of 64 versus three of 32 patients) or total length of hospitalization after interval cholecystectomy (median 15.5 and 15 days) or required (median 22 and 24 days) cholecystectomy. The overall incidence of recurrent pancreatitis was one of 64 patients...Continue Reading

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Citations

Oct 19, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mark BignellMichael Rhodes
Sep 12, 2000·Current Gastroenterology Reports·R J Shah, S P Martin
Apr 4, 2012·Annals of Surgery·Mark C van BaalUNKNOWN Dutch Pancreatitis Study Group
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Apr 5, 2001·Surgical Endoscopy·J F ZhuX H Zhang
Nov 7, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·David da CostaUNKNOWN Dutch Pancreatitis Study Group
Sep 20, 2015·Gastrointestinal Endoscopy·John A Martin
Oct 22, 2011·American Journal of Surgery·Sarah E JudkinsJeffrey L Johnson
May 31, 2006·Gastrointestinal Endoscopy·C Mel WilcoxMohamad Eloubeidi
May 17, 2014·Clinical Medicine Insights. Gastroenterology·Vincenzo NeriLibero Luca Giambavicchio
Oct 13, 2006·The American Journal of Gastroenterology·Peter A BanksUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
Nov 26, 2002·The British Journal of Surgery·S E Tranter, M H Thompson
Aug 13, 2010·Nature Reviews. Gastroenterology & Hepatology·Erwin J M van GeenenMarco J Bruno

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