Effect of endoscopic sphincterotomy on function of gall bladder motility
10.3760/cma.j.issn.1007-5232.2013.11.005
- VernacularTitle:十二指肠乳头括约肌切开术对胆囊动力功能的影响
- Author:
Jianfeng YANG
;
Jianhua FANG
;
Xia WANG
;
Hui WANG
;
Xiao ZHANG
;
Xiaofeng ZHANG
- Publication Type:Journal Article
- Keywords:
Sphincterotomy,endoscopic;
Choledocholithiasis;
Cholecystolithiasis
- From:
Chinese Journal of Digestive Endoscopy
2013;30(11):614-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of endoscopic sphincterotomy (EST) on function of gall bladder motility.Methods Sixty patients with common bile duct stones and intact gallbladder were recruited from January 2010 to June 2012 and divided to two groups according to with or without cholecystolithiasis.All patients underwent real-time ultrasound examination to assess bladder motility at fasting and after fat meal,and were followed up to observe the incidence of cholecystitis after EST.Results Compared with those before EST,there was a significant reduction in mean fasting volume and mean residual volume of gallbladder,and an increase in gall bladder emptying after EST.Within the mean follow-up period of 18.7 months,the incidence of cholecystitis in patients with cholecystolithiasis was similar with that of patients without cholecystolithiasis,but the recurrent rate of common duct stone was higher (26.7％ vs.6.7％,P =0.032).Conclusion After EST,contractility of the gall bladder is enhanced,although the rate of cholecystitis is similar to patients without cholecystolithiasis,the incidence of secondary common bile duct stone in patients with cholecystolithiasis increases.
