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Restoration of common bile duct diameter within 2 weeks after endoscopic stone retraction is a preventive factor for stone recurrence
- Source :
- Hepatobiliary & Pancreatic Diseases International. 17:251-256
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background Little information is available about the relationship between restoration of common bile duct (CBD) diameter after endoscopic stone retraction and recurrence of CBD stones in elderly patients. The present study was to determine whether restoration of CBD diameter is a preventive factor for CBD stone recurrence in elderly patients who underwent endoscopic retrograde cholangiopancreatography (ERCP). Methods From January 2006 to December 2010, 238 patients underwent the first and the second session of ERCP for the removal of CBD stones. Among them, 173 were over 65 years old. These patients were divided into recurrent group and non-recurrent group. Restoration of CBD diameter and patients’ characteristics were compared. Results There was no statistical difference in patients’ characteristics, associated diseases, or ERCP-related complications between the two groups. Reduction of CBD diameter was significantly larger in the non-recurrent group (2.7 ± 1.7 mm) compared to that in the recurrent group (1.4 ± 2.3 mm, P = 0.002). The proportion of patients with restoration of CBD diameter were significantly lower in the recurrent group (6/42, 14.3%) compared with that in the non-recurrent group (67/131, 51.1%) (P Conclusions There is an inverse relationship between restoration of CBD diameter and CBD stone recurrence. Therefore, patients without restoration of CBD diameter within 2 weeks after endoscopic stone removal should be monitored more frequently.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Statistical difference
digestive system
03 medical and health sciences
0302 clinical medicine
Recurrence
Risk Factors
medicine
Humans
In patient
Common bile duct stone
Aged
Retrospective Studies
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Endoscopic retrograde cholangiopancreatography
Hepatology
Common bile duct
medicine.diagnostic_test
business.industry
Age Factors
Gastroenterology
medicine.disease
digestive system diseases
Surgery
Choledocholithiasis
Treatment Outcome
surgical procedures, operative
medicine.anatomical_structure
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
Stone removal
business
Subjects
Details
- ISSN :
- 14993872
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Hepatobiliary & Pancreatic Diseases International
- Accession number :
- edsair.doi.dedup.....c5c9ce14ef68eaebee9379cc7737dfc8
- Full Text :
- https://doi.org/10.1016/j.hbpd.2018.03.014