Explore the value of ERCP in patients with choledocholithiasis after Billroth Ⅱ gastrointestinal anastomosis
10.3760/cma.j.issn.1673-4203.2019.02.005
- VernacularTitle:探讨ERCP在消化道重建胃肠Billroth Ⅱ吻合术后胆总管结石患者中的应用价值
- Author:
Shengxiong CHEN
1
;
Cheng JIN
;
Jianhua LIU
;
Changqing YAN
;
Wenbin WANG
;
Zegao ZHOU
;
Jiayue DUAN
;
Jiansheng ZHANG
Author Information
1. 河北医科大学第二医院肝胆外科
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Choledocholithiasis;
Therapeutic uses;
Digestive tract reconstruction;
Billroth Ⅱ gastrointestinal anastomosis
- From:
International Journal of Surgery
2019;46(2):88-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of endoscopic retrograde cholangiopancreatography (ERCP) in patients with choledocholithiasis after Billroth Ⅱ gastrointestinal anastomosis.Methods A retrospective cohort study was conducted to retrospective review the data of 189 patients with choledocholithiasis treated by ERCP from December 2015 to November 2017 in Department of Hepatobiliary Surgery,Second Hospital of Hebei Medical University.According to the history of Billroth Ⅱ gastrointestinal anastomosis,the patients who have not undergone digestive surgery were divided into the normal group(n =167) and patients who have undergone digestive surgery were divided into reconstruction group (n =22).The operation time,the success rate of stone extraction,complications,the hospitalization time,total hospitalization expenses were compared between the two groups.Measurement data with normal distribution were represented as (Mean ± SD) and comparison between groups was analyzed using the t test.Measurement data with skewed distribution were described as M (range).Comparisons of count data were analyzed using the x2 test or Fisher exact probability.Results The operation time of the normal group was (40.18 ± 11.80) min,and the success rate of ERCP was 97.60％ (163/167),the operation time of reconstruction group was(61.81 ± 13.21) min,and the success rate of ERCP was 81.82％ (18/22),There were significant differences between the two groups (t =0.105,x2 =10.400,P ＜ 0.05).The complications,the hospitalization time and the total hospitalization expense of the normal group were 16.17％ (27/167),(3.47 ± 1.55) d,(20 620.69 ± 3 117.88) yuan,the reconstruction group were 18.18％ (4/22),(4.18 ± 2.08) d,(22 426.41 ±5 916.30) yuan,with no statistically significant difference (x2 =0.000,t =4.204),t =10.828,P ＞ 0.05).Conclusions ERCP is safe and feasible for patients with choledocholithiasis after Billroth Ⅱ gastrointestinal anastomosis.It also has a high success rate of stone removal and small trauma,which is worthy of promotion.
