Long-term efficacy of endoscopic papillosphincterotomy and the risk factors for complications
- VernacularTitle:内镜下乳头括约肌切开术的远期疗效观察及其并发症的相关危险因素分析
- Author:
Chao FAN
;
Liang YU
;
Hao SUN
- Publication Type:Journal Article
- Keywords:
sphincterotomy;
endoscope;
common bile duct calculus;
duodenal papillary stenosis;
long-term complication
- From:Journal of Xi'an Jiaotong University(Medical Sciences)
1982;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of endoscopic sphincterotomy(EST)in treating common bile duct stone or strictive papillitis,and then analyze possible related risk factors for long-term complications after EST.Methods We made a retrospective study of 103 out of 158 patients who had EST from January 2005 to December 2006.Results In the 103 patients,there were 13 cases of long-term complications(≥3 m after EST),the incident rate being 12.6%:recurrent calculus of common bile duct in 8 cases,combined cholangitis in 6;cholangitis in 1;acute calculus cholecystitis in 2;residual calculus in 1 case;chronic pancreatitis in 1 case.Conclusion Endoscopic papillosphincterotomy is an effective and safe way to treat biliary tract obstruction.Preoperative jaundice may be the risk factor inducing long-term complications after EST.
