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Fate of the gallbladder with cholelithiasis after endoscopic sphincterotomy for choledocholithiasis.
Can J Surg. 1989 Jan; 32(1):15-8.CJ

Abstract

Endoscopic sphincterotomy is the treatment of choice for choledocholithiasis after cholecystectomy. Its role has been expanded to treat choledocholithiasis in patients with gallbladders still in place. The authors report their experience with endoscopic sphincterotomy, with emphasis on the safety of the procedure, in high-operative-risk patients with choledocholithiasis and gallbladder in situ. Stones were successfully removed in 72 of 75 patients (96%); 1 required an emergency operation and 2 an elective one. Complications included bleeding, pancreatitis and cholangitis; there were no associated deaths. Follow-up of 54 of the patients, who had associated cholelithiasis at the time of endoscopic sphincterotomy, showed that 14 died of causes unrelated to the biliary tract. Of the others, 14 underwent cholecystectomy for failure of endoscopic sphincterotomy (2), acute cholecystitis (4) or persistent biliary tract symptoms (8). The other 26 patients were well after a mean follow-up of 30.4 months; 1 had mild biliary tract symptoms. Ultrasonography in 16 of the 26 patients showed persistent cholelithiasis in 12. Life-table analysis revealed a 15% probability of acute cholecystitis within 5 years of endoscopic sphincterotomy.

Authors+Show Affiliations

Department of Surgery, University Hospital, University of Western Ontario, London.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2910374

Citation

Lamont, D D., and R B. Passi. "Fate of the Gallbladder With Cholelithiasis After Endoscopic Sphincterotomy for Choledocholithiasis." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 32, no. 1, 1989, pp. 15-8.
Lamont DD, Passi RB. Fate of the gallbladder with cholelithiasis after endoscopic sphincterotomy for choledocholithiasis. Can J Surg. 1989;32(1):15-8.
Lamont, D. D., & Passi, R. B. (1989). Fate of the gallbladder with cholelithiasis after endoscopic sphincterotomy for choledocholithiasis. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 32(1), 15-8.
Lamont DD, Passi RB. Fate of the Gallbladder With Cholelithiasis After Endoscopic Sphincterotomy for Choledocholithiasis. Can J Surg. 1989;32(1):15-8. PubMed PMID: 2910374.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fate of the gallbladder with cholelithiasis after endoscopic sphincterotomy for choledocholithiasis. AU - Lamont,D D, AU - Passi,R B, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez SP - 15 EP - 8 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 32 IS - 1 N2 - Endoscopic sphincterotomy is the treatment of choice for choledocholithiasis after cholecystectomy. Its role has been expanded to treat choledocholithiasis in patients with gallbladders still in place. The authors report their experience with endoscopic sphincterotomy, with emphasis on the safety of the procedure, in high-operative-risk patients with choledocholithiasis and gallbladder in situ. Stones were successfully removed in 72 of 75 patients (96%); 1 required an emergency operation and 2 an elective one. Complications included bleeding, pancreatitis and cholangitis; there were no associated deaths. Follow-up of 54 of the patients, who had associated cholelithiasis at the time of endoscopic sphincterotomy, showed that 14 died of causes unrelated to the biliary tract. Of the others, 14 underwent cholecystectomy for failure of endoscopic sphincterotomy (2), acute cholecystitis (4) or persistent biliary tract symptoms (8). The other 26 patients were well after a mean follow-up of 30.4 months; 1 had mild biliary tract symptoms. Ultrasonography in 16 of the 26 patients showed persistent cholelithiasis in 12. Life-table analysis revealed a 15% probability of acute cholecystitis within 5 years of endoscopic sphincterotomy. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/2910374/Fate_of_the_gallbladder_with_cholelithiasis_after_endoscopic_sphincterotomy_for_choledocholithiasis_ L2 - https://medlineplus.gov/gallstones.html DB - PRIME DP - Unbound Medicine ER -