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Does endoscopic sphincterotomy reduce the recurrence rate of cholangitis in patients with cholangitis and suspected of a common bile duct stone not detected by ERCP?
DC Field | Value | Language |
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dc.contributor.author | Lee, Sang Hyub | - |
dc.contributor.author | Hwang, Jin-Hyeok | - |
dc.contributor.author | Yang, Ki Young | - |
dc.contributor.author | Lee, Kwang Hyuck | - |
dc.contributor.author | Park, Young Soo | - |
dc.contributor.author | Park, Joo Kyung | - |
dc.contributor.author | Woo, Sang Myung | - |
dc.contributor.author | Yoo, Ji Won | - |
dc.contributor.author | Ryu, Ji Kon | - |
dc.contributor.author | Kim, Yong-Tae | - |
dc.contributor.author | Yoon, Yong Bum | - |
dc.date.accessioned | 2010-04-01T05:24:13Z | - |
dc.date.available | 2010-04-01T05:24:13Z | - |
dc.date.issued | 2007-11-13 | - |
dc.identifier.citation | Gastrointest Endosc. 2008 ;67(1):51-7. | en |
dc.identifier.issn | 0016-5107 (Print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62317 | - |
dc.description.abstract | BACKGROUND: It has not been established whether endoscopic sphincterotomy (ES) prevents subsequent cholangitis in patients with cholangitis and with a common bile duct (CBD) stone not documented by ERCP. OBJECTIVE: The aim of this study was to investigate the role of ES on the recurrence of cholangitis in patients with a high probability of having a CBD stone, not demonstrated by ERCP. DESIGN AND PATIENTS: A total of 117 patients who were diagnosed as having cholangitis and a high probability of a CBD stone, not detected by ERCP, were retrospectively reviewed. Cumulative recurrence rates of cholangitis were compared for treatments with and without ES. SETTING: Multicenter, retrospective study. INTERVENTIONS: ES. MAIN OUTCOME MEASUREMENTS: Cumulative recurrence of cholangitis after ERCP. RESULTS: Eighty-three patients underwent ES (ES group) and 34 patients did not (non-ES group). No statistically significant differences between the 2 groups were evident in terms of demographic factors or laboratory findings. The mean (standard deviation) follow-up was 22.1 +/- 17.2 months (range 3-66 months) in the ES group and 23.3 +/- 14.9 months (range 6-84 months) in the non-ES group (P = .72). The cumulative rates of cholangitis were 6.3% (4.8% vs 9.9%) at 1 year, 15.6% (9.2% vs 29.3%) at 3 years, and 19.5% (9.2% vs 52.9%) at 5 years for ES vs non-ES groups, respectively (P = .04). By multivariate analysis, ES reduced cholangitis recurrence, with a hazard ratio of 0.305 (95% CI 0.095-0.975, P = .045). LIMITATIONS: Retrospective study. CONCLUSIONS: ES reduced further episodes of cholangitis in patients with an episode of cholangitis and a high probability of choledocholithiasis, despite the lack of a CBD stone seen on ERCP. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Cholangitis/etiology/*prevention & control | en |
dc.subject | Female | en |
dc.subject | Gallstones/complications/*diagnosis | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Prognosis | en |
dc.subject | Recurrence/prevention & control | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Outcome | en |
dc.subject | Cholangiopancreatography, Endoscopic Retrograde | - |
dc.subject | Sphincterotomy, Endoscopic | - |
dc.title | Does endoscopic sphincterotomy reduce the recurrence rate of cholangitis in patients with cholangitis and suspected of a common bile duct stone not detected by ERCP? | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 이상협 | - |
dc.contributor.AlternativeAuthor | 황진혁 | - |
dc.contributor.AlternativeAuthor | 양기영 | - |
dc.contributor.AlternativeAuthor | 이광혁 | - |
dc.contributor.AlternativeAuthor | 박영수 | - |
dc.contributor.AlternativeAuthor | 박주경 | - |
dc.contributor.AlternativeAuthor | 우상명 | - |
dc.contributor.AlternativeAuthor | 유지원 | - |
dc.contributor.AlternativeAuthor | 류지곤 | - |
dc.contributor.AlternativeAuthor | 김용태 | - |
dc.contributor.AlternativeAuthor | 윤용범 | - |
dc.identifier.doi | 10.1016/j.gie.2007.05.050 | - |
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