Clinical Endoscopy

  • 제44권2호
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  • Pages.123-128
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  • 2011
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Short-term Clinical Outcomes Based on Risk Factors of Recurrence after Removing Common Bile Duct Stones with Endoscopic Papillary Large Balloon Dilatation

  • Kim, Jung-Ho (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Yeon-Suk (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Dong-Kyu (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Ha, Min-Su (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Young-Jun (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Jong-Joon (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Sang-Jin (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Won, In-Sik (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Ku, Yang-Suh (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Yun-Soo (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Ju-Hyun (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science)
  • 발행 : 2011.12.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Recurrence is an important late complication of endotherapy of bile duct stones. Endoscopic papillary large balloon dilation (EPLBD) can be used as an alternative method of removing difficult bile duct stones. The aim of this study was to evaluate short term clinical outcomes after removing common bile duct (CBD) stones using EPLBD. Methods: A retrospective review was performed based on the medical records of 141 patients who received EPLBD, with or without endoscopic sphincterotomy, between September 2008 and February 2010. Of these, 50 patients, were enrolled in the study. Clinical and endoscopic parameters were analyzed to identify risk factors for CBD stones recurrence. Results: Male:Female ratio was 22:28 (mean age, 67.4${\pm}$14.4 years). Recurrence rate was 24.0% (12/50). Mean follow-up period was 10.8${\pm}$4.5 months. Nineteen (38.0%) had a history of surgery and 20 (40.0%) were comorbid with periampullary diverticula. Mean diameters of the stones and CBD were 13.8${\pm}$4.3 mm and 20.1${\pm}$7.2 mm, respectively. In univariate analysis, large CBD stones (${\geq}$12 mm) and angulated CBD (angle ${\leq}145^{\circ}$) were identified as the significant predictors of recurrence. In multivariate analysis, angulated CBD (angle ${\leq}145^{\circ}$) was the significant independent risk factor for recurrence. Conclusions: Close follow-up seems necessary in patients with angulated CBD (angle ${\leq}145^{\circ}$).

키워드

참고문헌

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피인용 문헌

  1. Endoscopic papillary balloon dilation for difficult common bile duct stones: Our experience vol.1, pp.1, 2013, https://doi.org/10.12998/wjcc.v1.i1.19
  2. Which Is the Better Treatment for the Removal of Large Biliary Stones? Endoscopic Papillary Large Balloon Dilation versus Endoscopic Sphincterotomy vol.8, pp.4, 2011, https://doi.org/10.5009/gnl.2014.8.4.438
  3. Japan Gastroenterological Endoscopy Society guidelines for endoscopic papillary large balloon dilation vol.30, pp.3, 2011, https://doi.org/10.1111/den.13029
  4. Causes associated with recurrent choledocholithiasis following therapeutic endoscopic retrograde cholangiopancreatography: A large sample sized retrospective study vol.7, pp.9, 2019, https://doi.org/10.12998/wjcc.v7.i9.1028
  5. Alterations of the Bile Microbiome in Recurrent Common Bile Duct Stone vol.2020, pp.None, 2011, https://doi.org/10.1155/2020/4637560
  6. Clinical Impact of Common Bile Duct Angulation for Recurrence of Bile Duct Stones vol.76, pp.4, 2011, https://doi.org/10.4166/kjg.2020.76.4.177
  7. Clinical Impact of Common Bile Duct Angulation on the Recurrence of Common Bile Duct Stone: A Meta-analysis and Review vol.76, pp.4, 2020, https://doi.org/10.4166/kjg.2020.76.4.199
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