Long-term symptoms following endoscopic sphincterotomy for common bile duct stones
Endoscopic sphincterotomy (ES) has an important role in the management of biliary stones. However, the long-term effects of free duodenobiliary reflux are not established, and it may lead to low-grade morbidity. We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder...
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| Veröffentlicht in: | Surgical endoscopy 2004-03, Vol.18 (3), p.363-366 |
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| creator | MACADAM, R. C. A GOODALL, R. J. R |
| description | Endoscopic sphincterotomy (ES) has an important role in the management of biliary stones. However, the long-term effects of free duodenobiliary reflux are not established, and it may lead to low-grade morbidity.
We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder in patients who had undergone endoscopic retrograde cholangio pancreatography (ERCP) and ES under the care of a single surgeon (R.J.R.G) between November 1993 and May 1998.
ES was carried out on 136 patients during this period. Current addresses were available for 94 patients, and 54 of them (57%) responded. Patients were surveyed a mean of 43 months after ES. Only 42.1% of patients denied having any symptoms. Nausea and pale stools were reported by 28% and 26% of patients, respectively, and nearly one-fifth of patients had symptoms suggestive of cholangitis. In addition, 18.5% of patients experienced one or more symptoms frequently.
Severe long-term symptoms are uncommon following ES; however, a significant minority of patients do suffer occasional symptoms that suggest biliary dysfunction. |
| doi_str_mv | 10.1007/s00464-002-9285-9 |
| format | Article |
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We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder in patients who had undergone endoscopic retrograde cholangio pancreatography (ERCP) and ES under the care of a single surgeon (R.J.R.G) between November 1993 and May 1998.
ES was carried out on 136 patients during this period. Current addresses were available for 94 patients, and 54 of them (57%) responded. Patients were surveyed a mean of 43 months after ES. Only 42.1% of patients denied having any symptoms. Nausea and pale stools were reported by 28% and 26% of patients, respectively, and nearly one-fifth of patients had symptoms suggestive of cholangitis. In addition, 18.5% of patients experienced one or more symptoms frequently.
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We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder in patients who had undergone endoscopic retrograde cholangio pancreatography (ERCP) and ES under the care of a single surgeon (R.J.R.G) between November 1993 and May 1998.
ES was carried out on 136 patients during this period. Current addresses were available for 94 patients, and 54 of them (57%) responded. Patients were surveyed a mean of 43 months after ES. Only 42.1% of patients denied having any symptoms. Nausea and pale stools were reported by 28% and 26% of patients, respectively, and nearly one-fifth of patients had symptoms suggestive of cholangitis. In addition, 18.5% of patients experienced one or more symptoms frequently.
Severe long-term symptoms are uncommon following ES; however, a significant minority of patients do suffer occasional symptoms that suggest biliary dysfunction.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholangitis - epidemiology</subject><subject>Cholecystectomy</subject><subject>Choledocholithiasis - surgery</subject><subject>Feces</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hyperhidrosis - epidemiology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nausea - epidemiology</subject><subject>Nova Scotia - epidemiology</subject><subject>Other diseases. Semiology</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Sphincterotomy, Endoscopic - adverse effects</subject><subject>Sphincterotomy, Endoscopic - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Vomiting - epidemiology</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0M1LwzAYx_EgipvTP8CL9KK3aF6aJjnK8A0Ggug5ZGkyK21T87TI_nszNtjpuXye3-GL0DUl95QQ-QCElFWJCWFYMyWwPkFzWnKGGaPqFM2J5gQzqcsZugD4IZlrKs7RjJaSVkKwOfpYxX6DR5-6ArbdMMYOihDbNv41_abwfR3BxaFxBQzfTe8yjNlss0mFi10X-2LdtL6oJzcWMMbewyU6C7YFf3W4C_T1_PS5fMWr95e35eMKO87kiLVTSnjGWHBSVJUXvpY8WK1ZELasGfFqLbksnaZUM865zsfaoDiRTtrAF-huvzuk-Dt5GE3XgPNta3sfJzCSKlFyRTOke-hSBEg-mCE1nU1bQ4nZhTT7kCaHNLuQRuefm8P4tO58ffw4lMvg9gAsONuGZHvXwNEJmcMzxv8BvL577w</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>MACADAM, R. 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R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-9c885e222fc7566e5ed73fa992f5a4d20e8b7374c911923339192aaf8307c7af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholangitis - epidemiology</topic><topic>Cholecystectomy</topic><topic>Choledocholithiasis - surgery</topic><topic>Feces</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hyperhidrosis - epidemiology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nausea - epidemiology</topic><topic>Nova Scotia - epidemiology</topic><topic>Other diseases. Semiology</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Sphincterotomy, Endoscopic - adverse effects</topic><topic>Sphincterotomy, Endoscopic - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Vomiting - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MACADAM, R. C. A</creatorcontrib><creatorcontrib>GOODALL, R. J. R</creatorcontrib><collection>Pascal-Francis</collection><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>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MACADAM, R. C. A</au><au>GOODALL, R. J. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term symptoms following endoscopic sphincterotomy for common bile duct stones</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>18</volume><issue>3</issue><spage>363</spage><epage>366</epage><pages>363-366</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Endoscopic sphincterotomy (ES) has an important role in the management of biliary stones. However, the long-term effects of free duodenobiliary reflux are not established, and it may lead to low-grade morbidity.
We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder in patients who had undergone endoscopic retrograde cholangio pancreatography (ERCP) and ES under the care of a single surgeon (R.J.R.G) between November 1993 and May 1998.
ES was carried out on 136 patients during this period. Current addresses were available for 94 patients, and 54 of them (57%) responded. Patients were surveyed a mean of 43 months after ES. Only 42.1% of patients denied having any symptoms. Nausea and pale stools were reported by 28% and 26% of patients, respectively, and nearly one-fifth of patients had symptoms suggestive of cholangitis. In addition, 18.5% of patients experienced one or more symptoms frequently.
Severe long-term symptoms are uncommon following ES; however, a significant minority of patients do suffer occasional symptoms that suggest biliary dysfunction.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>14716552</pmid><doi>10.1007/s00464-002-9285-9</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde Cholangitis - epidemiology Cholecystectomy Choledocholithiasis - surgery Feces Female Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen General aspects Humans Hyperhidrosis - epidemiology Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Nausea - epidemiology Nova Scotia - epidemiology Other diseases. Semiology Patient Satisfaction - statistics & numerical data Postoperative Complications - epidemiology Prospective Studies Recurrence Sphincterotomy, Endoscopic - adverse effects Sphincterotomy, Endoscopic - statistics & numerical data Surveys and Questionnaires Treatment Outcome Vomiting - epidemiology |
| title | Long-term symptoms following endoscopic sphincterotomy for common bile duct stones |
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