1.Juxtapapillary Duodenal Diverticula Risk Development and Recurrence of Biliary Stone.
Kang Suk KO ; Seong Hun KIM ; Hyun Chul KIM ; In Hee KIM ; Seung Ok LEE
Journal of Korean Medical Science 2012;27(7):772-776
We assessed whether the presence of juxtapapillary duodenal diverticula (JPDD) risks biliary stone disease and recurrence. In total, 695 patients who underwent ERCP were divided into two groups: biliary stone disease (group I, n = 523) and non-stone biliary diseases (group II, n = 172). Additionally, for a control group (group III), 80 age-matched healthy subjects underwent side-view duodenoscopy. In group I, rates of post-ERCP pancreatitis, cannulation failure, and disease recurrence in two-year follow up were compared according to the presence of JPDD. In results, the incidence of JPDD in group I (42.4%) was significantly higher than in group II (16.3%) and III (18.8%). The frequencies of JPDD were increased with age in all groups, and reached statistical significance in group I. In group I, rates of post-ERCP pancreatitis were significantly higher in patients with JPDD (18.5%) compared to JPDD negative (12.6%). The cannulation failure rate was also higher in patients with JPDD (9.9%) compared to JPDD negative (5.3%). Recurrence rate was higher in patients with JPDD (25.3%) compared to JPDD negative (9.2%). In conclusion, JPDD develops with aging and risks biliary stone formation. JPDD also seems to be associated with post-ERCP pancreatitis, cannulation failure and biliary stone recurrence.
Adult
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Age Factors
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Aged
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Cholangiopancreatography, Endoscopic Retrograde/adverse effects
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Cholelithiasis/complications/diagnosis/epidemiology
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Diverticulum/*diagnosis/epidemiology/etiology
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Duodenal Diseases/*diagnosis/epidemiology/etiology
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Duodenoscopy
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Female
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Follow-Up Studies
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Gallstones/complications/*diagnosis
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Humans
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Incidence
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Male
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Middle Aged
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Pancreatitis/etiology
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Recurrence
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Risk Factors
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Sphincterotomy, Endoscopic