Long-term consequence of endoscopic sphincterotomy for bile duct stones

Tanaka, Masao; Takahata, Shunichi; Konomi, Hiroyuki; Matsubara, Hiroaki; Yokohata, Kazunori; Takeda, Tomoshiro; Utsunomiya, Naruhiro; Ikeda, Seiyo

doi:10.1016/s0016-5107(98)70086-0

Cited by 185 publications

(175 citation statements)

References 21 publications

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“…The reported mean or median intervals until the first recurrence were given as 13-33 months (10,14,15). One study showed that 70% of the stones recurred within five years (14). In the present study, 50% of the first recurrences of CBD stones occurred within 2.3 years, and 80%, within 5.3 years.…”

Section: Discussionmentioning

confidence: 44%

“…In addition, those with multiple recurrences had not previously been studied. The reported mean or median intervals until the first recurrence were given as 13-33 months (10,14,15). One study showed that 70% of the stones recurred within five years (14).…”

Section: Discussionmentioning

confidence: 99%

“…In one study, all of the recurrent stones were bilirubinate, irrespective of the type of stone at the initial incidence (14). The fact that the recurrent stones are invariably of the bilirubinate type, irrespective of the type of stones at the initial presentation, suggests that bacterial infestation due to ablation of the sphincter mechanism may play a causative role (14).…”

Section: Discussionmentioning

confidence: 99%

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Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Chang

Kim²,

Kim³

et al. 2014

Turk J Gastroenterol

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Background/Aims: Some common bile duct (CBD) stones recur after endoscopic stone extraction. Little information is available on the size and recurrence interval of recurrent symptomatic CBD stones or on ways to prevent recurrence. Materials and Methods: Between January 2007 and December 2011, consecutive 481 patients undergoing endoscopic extraction of CBD stones at a single institute were enrolled. We selected 34 patients with recurrent symptomatic CBD stones and 63 patients who were followed up more than five years without recurrence. Results: The sizes of the CBD stones increased during the recurrences: 10.1±5.2 mm, 13.5±7.3 mm, and 16.8±7.8 mm at the initial presentation, the first recurrence, and the second recurrence, respectively (p=0.016). Among CBD stone recurrences, 50% occurred within 2.3 years, and 80% occurred within 5.3 years. The recurrence group had a smaller proportion of patients under 50 years of age, larger CBD diameters, less histories of more than 10 mm endoscopic papillary large-balloon dilation (EPLBD), and more type I periampullary diverticula, compared with the non-recurrence group (p<0.05). Multivariate analysis revealed that EPLBD more than 10 mm and smaller CBD diameter were independently related to less recurrence of CBD stones (p=0.001 and 0.012, respectively). Conclusion: The sizes of CBD stones increased during recurrences. EPLBD more than 10 mm and smaller CBD diameter were related to less recurrence of CBD stones.

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Chang

Kim²,

Kim³

et al. 2014

Turk J Gastroenterol

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show abstract

“…It is suggested that loss of sphincter function leads to bacterial colonization and secondary chronic inflammation, which, together with the cytotoxic effects of bile salts, might cause malignant transformation of the biliary epithelium (15,16). Although there are stray reports of cholangiocarcinoma postbiliary ES, none can convincingly be linked to the ES (6,8). In our opinion, cholangiocarcinoma remains only a theoretical long-term risk after ES; follow-up beyond three decades will determine the real incidence.…”

mentioning

confidence: 89%

What are really the true late complications of endoscopic biliary sphincterotomy?

Sheth¹

2002

The American Journal of Gastroenterology

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“…Other theoretically possible long term complications in patients who underwent endoscopic sphicterotomy for choledocholithiasis unrelated to transplantation might be reported in transplant patients. When longer term results are more available in the future, these complications include recurrent stones (12.3%), biliary carcinoma (2.0%), and liver abscess (1.2%) (Tanaka et al, 1998). There was a successful trial by Koyoto group with endoscopic stenting of biliary strictures without sphincterotomy.…”

Section: Living Donor Liver Transplantationmentioning

confidence: 99%