Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones
OBJECTIVEThe aim of this study was to compare the short-term and long-term outcomes of endoscopic sphincterotomy (EST) with endoscopic papillary balloon dilation (EPBD), and to find out risk factors for long-term complications. PATIENTS AND METHODSFrom January 2008 to June 2011, patients who underwe...
Gespeichert in:
| Veröffentlicht in: | European journal of gastroenterology & hepatology 2014-12, Vol.26 (12), p.1367-1373 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1373 |
|---|---|
| container_issue | 12 |
| container_start_page | 1367 |
| container_title | European journal of gastroenterology & hepatology |
| container_volume | 26 |
| creator | Lu, Yi Wu, Jia-Chuan Liu, Lei Bie, Li-Ke Gong, Biao |
| description | OBJECTIVEThe aim of this study was to compare the short-term and long-term outcomes of endoscopic sphincterotomy (EST) with endoscopic papillary balloon dilation (EPBD), and to find out risk factors for long-term complications.
PATIENTS AND METHODSFrom January 2008 to June 2011, patients who underwent endoscopic retrograde cholangiopancreatography for common bile duct stone removal were included, and they were divided into EST and EPBD groups. Clinical information was retrospectively viewed, and the patients were contacted through telephone or by searching for the medical records to get long-term outcomes.
RESULTSA total of 863 patients were included, with 636 patients in the EST group and 227 patients in the EPBD group. There was no difference in the rate of complete stone removal and early complications, except for pancreatitis. In all, 493 patients in the EST group and 170 patients in the EST group were followed up for 36.7–77.6 months. More patients in the EST group developed cholangitis, stone recurrence, and cholecystitis in the long term. Multivariate analysis showed that EPBD was a protective factor for cholangitis, stone recurrence, and cholecystitis. Gall stones were risk factors for cholangitis and cholecystitis. Mechanical lithotripsy may also be a risk factor for stone recurrence.
CONCLUSIONEST shows better results in early outcomes, but during long-term follow-up patients following EST experienced more number of late complications. Gall stones and mechanical lithotripsy may be risk factors for long-term complications. |
| doi_str_mv | 10.1097/MEG.0000000000000218 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1619315712</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1619315712</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4778-6c2c0bd67126aa5d74f86482fcfa33f44e7e3f9f77bde6ace6a8ea1abf8791283</originalsourceid><addsrcrecordid>eNp9kEFPwyAYhonR6Jz-A2M4euksLQV6NMucJhoPauKtofTDVWmpQF08-8fFTI3xIAmBjzzfCzwIHZF0RtKSn14vlrP098iI2EITQnmeFEzwbTRJy4ImrCQPe2jf-6c0JTwnfBftZUXGaCmKCXq_XVkXkgCuw7JvsLH946ayY1C2A4-ljjWGvrFe2aFV2A-rtlfx0AbbveFXcH70v4FBDq0x0r3hWhpjbY-b1sjQxo22DtetAdyMKmAfbA_-AO1oaTwcfq1TdH--uJtfJFc3y8v52VWiKOciYSpTad0wTjImZdFwqgWjItNKyzzXlAKHXJea87oBJlWcAiSRtRa8JJnIp-hkkzs4-zKCD1XXegXxpT3Y0VeEkTInRcyPKN2gylnvHehqcG0Xf1SRtPrUX0X91V_9se3464ax7qD5afr2HQGxAdbWRIH-2YxrcNUKpAmr_7M_AMLvlZI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1619315712</pqid></control><display><type>article</type><title>Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Lu, Yi ; Wu, Jia-Chuan ; Liu, Lei ; Bie, Li-Ke ; Gong, Biao</creator><creatorcontrib>Lu, Yi ; Wu, Jia-Chuan ; Liu, Lei ; Bie, Li-Ke ; Gong, Biao</creatorcontrib><description>OBJECTIVEThe aim of this study was to compare the short-term and long-term outcomes of endoscopic sphincterotomy (EST) with endoscopic papillary balloon dilation (EPBD), and to find out risk factors for long-term complications.
PATIENTS AND METHODSFrom January 2008 to June 2011, patients who underwent endoscopic retrograde cholangiopancreatography for common bile duct stone removal were included, and they were divided into EST and EPBD groups. Clinical information was retrospectively viewed, and the patients were contacted through telephone or by searching for the medical records to get long-term outcomes.
RESULTSA total of 863 patients were included, with 636 patients in the EST group and 227 patients in the EPBD group. There was no difference in the rate of complete stone removal and early complications, except for pancreatitis. In all, 493 patients in the EST group and 170 patients in the EST group were followed up for 36.7–77.6 months. More patients in the EST group developed cholangitis, stone recurrence, and cholecystitis in the long term. Multivariate analysis showed that EPBD was a protective factor for cholangitis, stone recurrence, and cholecystitis. Gall stones were risk factors for cholangitis and cholecystitis. Mechanical lithotripsy may also be a risk factor for stone recurrence.
CONCLUSIONEST shows better results in early outcomes, but during long-term follow-up patients following EST experienced more number of late complications. Gall stones and mechanical lithotripsy may be risk factors for long-term complications.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0000000000000218</identifier><identifier>PMID: 25264985</identifier><language>eng</language><publisher>England: Wolters Kluwer Health | Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Chi-Square Distribution ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangitis - etiology ; Cholecystitis - etiology ; Choledocholithiasis - diagnosis ; Choledocholithiasis - surgery ; Dilatation - adverse effects ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Pancreatitis - etiology ; Patient Selection ; Recurrence ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Sphincterotomy, Endoscopic - adverse effects ; Time Factors ; Treatment Outcome ; Young Adult</subject><ispartof>European journal of gastroenterology & hepatology, 2014-12, Vol.26 (12), p.1367-1373</ispartof><rights>2014 Wolters Kluwer Health | Lippincott Williams & Wilkins</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4778-6c2c0bd67126aa5d74f86482fcfa33f44e7e3f9f77bde6ace6a8ea1abf8791283</citedby><cites>FETCH-LOGICAL-c4778-6c2c0bd67126aa5d74f86482fcfa33f44e7e3f9f77bde6ace6a8ea1abf8791283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25264985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Wu, Jia-Chuan</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>Bie, Li-Ke</creatorcontrib><creatorcontrib>Gong, Biao</creatorcontrib><title>Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones</title><title>European journal of gastroenterology & hepatology</title><addtitle>Eur J Gastroenterol Hepatol</addtitle><description>OBJECTIVEThe aim of this study was to compare the short-term and long-term outcomes of endoscopic sphincterotomy (EST) with endoscopic papillary balloon dilation (EPBD), and to find out risk factors for long-term complications.
PATIENTS AND METHODSFrom January 2008 to June 2011, patients who underwent endoscopic retrograde cholangiopancreatography for common bile duct stone removal were included, and they were divided into EST and EPBD groups. Clinical information was retrospectively viewed, and the patients were contacted through telephone or by searching for the medical records to get long-term outcomes.
RESULTSA total of 863 patients were included, with 636 patients in the EST group and 227 patients in the EPBD group. There was no difference in the rate of complete stone removal and early complications, except for pancreatitis. In all, 493 patients in the EST group and 170 patients in the EST group were followed up for 36.7–77.6 months. More patients in the EST group developed cholangitis, stone recurrence, and cholecystitis in the long term. Multivariate analysis showed that EPBD was a protective factor for cholangitis, stone recurrence, and cholecystitis. Gall stones were risk factors for cholangitis and cholecystitis. Mechanical lithotripsy may also be a risk factor for stone recurrence.
CONCLUSIONEST shows better results in early outcomes, but during long-term follow-up patients following EST experienced more number of late complications. Gall stones and mechanical lithotripsy may be risk factors for long-term complications.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chi-Square Distribution</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangitis - etiology</subject><subject>Cholecystitis - etiology</subject><subject>Choledocholithiasis - diagnosis</subject><subject>Choledocholithiasis - surgery</subject><subject>Dilatation - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Pancreatitis - etiology</subject><subject>Patient Selection</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sphincterotomy, Endoscopic - adverse effects</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFPwyAYhonR6Jz-A2M4euksLQV6NMucJhoPauKtofTDVWmpQF08-8fFTI3xIAmBjzzfCzwIHZF0RtKSn14vlrP098iI2EITQnmeFEzwbTRJy4ImrCQPe2jf-6c0JTwnfBftZUXGaCmKCXq_XVkXkgCuw7JvsLH946ayY1C2A4-ljjWGvrFe2aFV2A-rtlfx0AbbveFXcH70v4FBDq0x0r3hWhpjbY-b1sjQxo22DtetAdyMKmAfbA_-AO1oaTwcfq1TdH--uJtfJFc3y8v52VWiKOciYSpTad0wTjImZdFwqgWjItNKyzzXlAKHXJea87oBJlWcAiSRtRa8JJnIp-hkkzs4-zKCD1XXegXxpT3Y0VeEkTInRcyPKN2gylnvHehqcG0Xf1SRtPrUX0X91V_9se3464ax7qD5afr2HQGxAdbWRIH-2YxrcNUKpAmr_7M_AMLvlZI</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Lu, Yi</creator><creator>Wu, Jia-Chuan</creator><creator>Liu, Lei</creator><creator>Bie, Li-Ke</creator><creator>Gong, Biao</creator><general>Wolters Kluwer Health | Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones</title><author>Lu, Yi ; Wu, Jia-Chuan ; Liu, Lei ; Bie, Li-Ke ; Gong, Biao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4778-6c2c0bd67126aa5d74f86482fcfa33f44e7e3f9f77bde6ace6a8ea1abf8791283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chi-Square Distribution</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangitis - etiology</topic><topic>Cholecystitis - etiology</topic><topic>Choledocholithiasis - diagnosis</topic><topic>Choledocholithiasis - surgery</topic><topic>Dilatation - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Pancreatitis - etiology</topic><topic>Patient Selection</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sphincterotomy, Endoscopic - adverse effects</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Wu, Jia-Chuan</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>Bie, Li-Ke</creatorcontrib><creatorcontrib>Gong, Biao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lu, Yi</au><au>Wu, Jia-Chuan</au><au>Liu, Lei</au><au>Bie, Li-Ke</au><au>Gong, Biao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones</atitle><jtitle>European journal of gastroenterology & hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2014-12</date><risdate>2014</risdate><volume>26</volume><issue>12</issue><spage>1367</spage><epage>1373</epage><pages>1367-1373</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>OBJECTIVEThe aim of this study was to compare the short-term and long-term outcomes of endoscopic sphincterotomy (EST) with endoscopic papillary balloon dilation (EPBD), and to find out risk factors for long-term complications.
PATIENTS AND METHODSFrom January 2008 to June 2011, patients who underwent endoscopic retrograde cholangiopancreatography for common bile duct stone removal were included, and they were divided into EST and EPBD groups. Clinical information was retrospectively viewed, and the patients were contacted through telephone or by searching for the medical records to get long-term outcomes.
RESULTSA total of 863 patients were included, with 636 patients in the EST group and 227 patients in the EPBD group. There was no difference in the rate of complete stone removal and early complications, except for pancreatitis. In all, 493 patients in the EST group and 170 patients in the EST group were followed up for 36.7–77.6 months. More patients in the EST group developed cholangitis, stone recurrence, and cholecystitis in the long term. Multivariate analysis showed that EPBD was a protective factor for cholangitis, stone recurrence, and cholecystitis. Gall stones were risk factors for cholangitis and cholecystitis. Mechanical lithotripsy may also be a risk factor for stone recurrence.
CONCLUSIONEST shows better results in early outcomes, but during long-term follow-up patients following EST experienced more number of late complications. Gall stones and mechanical lithotripsy may be risk factors for long-term complications.</abstract><cop>England</cop><pub>Wolters Kluwer Health | Lippincott Williams & Wilkins</pub><pmid>25264985</pmid><doi>10.1097/MEG.0000000000000218</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-691X |
| ispartof | European journal of gastroenterology & hepatology, 2014-12, Vol.26 (12), p.1367-1373 |
| issn | 0954-691X 1473-5687 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1619315712 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Chi-Square Distribution Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangitis - etiology Cholecystitis - etiology Choledocholithiasis - diagnosis Choledocholithiasis - surgery Dilatation - adverse effects Female Humans Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Pancreatitis - etiology Patient Selection Recurrence Retrospective Studies Risk Assessment Risk Factors Sphincterotomy, Endoscopic - adverse effects Time Factors Treatment Outcome Young Adult |
| title | Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T13%3A39%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Short-term%20and%20long-term%20outcomes%20after%20endoscopic%20sphincterotomy%20versus%20endoscopic%20papillary%20balloon%20dilation%20for%20bile%20duct%20stones&rft.jtitle=European%20journal%20of%20gastroenterology%20&%20hepatology&rft.au=Lu,%20Yi&rft.date=2014-12&rft.volume=26&rft.issue=12&rft.spage=1367&rft.epage=1373&rft.pages=1367-1373&rft.issn=0954-691X&rft.eissn=1473-5687&rft_id=info:doi/10.1097/MEG.0000000000000218&rft_dat=%3Cproquest_cross%3E1619315712%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1619315712&rft_id=info:pmid/25264985&rfr_iscdi=true |