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Article: Retained common bile duct stones: A comparison between biliary stenting and complete clearance of stones by electrohydraulic lithotripsy
Title | Retained common bile duct stones: A comparison between biliary stenting and complete clearance of stones by electrohydraulic lithotripsy |
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Authors | |
Issue Date | 2003 |
Publisher | Blackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT |
Citation | Alimentary Pharmacology And Therapeutics, 2003, v. 17 n. 2, p. 289-296 How to Cite? |
Abstract | Background: There is some uncertainty as to whether high-risk patients with difficult common bile duct stones should be subjected to a further endoscopic procedure for the complete removal of stones by electrohydraulic lithotripsy or whether permanent biliary stenting should be performed. Aim: To compare the outcome of permanent biliary stenting with electrohydraulic lithotripsy in this group of patients. Methods: In a prospective study, 36 patients with difficult common bile duct stones were investigated: 19 underwent double pigtail insertion (stent group), whereas 17 underwent complete clearance of stones (electrohydraulic lithotripsy). Results: In the electrohydraulic lithotripsy group, successful stone clearance was achieved in 76.5%, whereas, in the stent group, the success of stenting was 94.7%. A significant difference was detected in the actuarial incidence of recurrent acute cholangitis when the electrohydraulic lithotripsy group was compared with the stent group [one patient (7.7%) vs. 12 patients (63.2%), respectively; P = 0.002, log rank test]. A significant difference was detected in the actuarial frequency of mortality between the electrohydraulic lithotripsy and stent groups [seven patients (41.2%) vs. 14 patients (73.7%), respectively; P = 0.01, log rank test]. Conclusions: The removal of difficult common bile duct stones by electrohydraulic lithotripsy and further endoscopic retrograde cholangiopancreatography has a high success rate and a low complication rate even in the elderly. |
Persistent Identifier | http://hdl.handle.net/10722/76743 |
ISSN | 2023 Impact Factor: 6.6 2023 SCImago Journal Rankings: 2.794 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Hui, CK | en_HK |
dc.contributor.author | Lai, KC | en_HK |
dc.contributor.author | Ng, M | en_HK |
dc.contributor.author | Wong, WM | en_HK |
dc.contributor.author | Yuen, MF | en_HK |
dc.contributor.author | Lam, SK | en_HK |
dc.contributor.author | Lai, CL | en_HK |
dc.contributor.author | Wong, BCY | en_HK |
dc.date.accessioned | 2010-09-06T07:24:27Z | - |
dc.date.available | 2010-09-06T07:24:27Z | - |
dc.date.issued | 2003 | en_HK |
dc.identifier.citation | Alimentary Pharmacology And Therapeutics, 2003, v. 17 n. 2, p. 289-296 | en_HK |
dc.identifier.issn | 0269-2813 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/76743 | - |
dc.description.abstract | Background: There is some uncertainty as to whether high-risk patients with difficult common bile duct stones should be subjected to a further endoscopic procedure for the complete removal of stones by electrohydraulic lithotripsy or whether permanent biliary stenting should be performed. Aim: To compare the outcome of permanent biliary stenting with electrohydraulic lithotripsy in this group of patients. Methods: In a prospective study, 36 patients with difficult common bile duct stones were investigated: 19 underwent double pigtail insertion (stent group), whereas 17 underwent complete clearance of stones (electrohydraulic lithotripsy). Results: In the electrohydraulic lithotripsy group, successful stone clearance was achieved in 76.5%, whereas, in the stent group, the success of stenting was 94.7%. A significant difference was detected in the actuarial incidence of recurrent acute cholangitis when the electrohydraulic lithotripsy group was compared with the stent group [one patient (7.7%) vs. 12 patients (63.2%), respectively; P = 0.002, log rank test]. A significant difference was detected in the actuarial frequency of mortality between the electrohydraulic lithotripsy and stent groups [seven patients (41.2%) vs. 14 patients (73.7%), respectively; P = 0.01, log rank test]. Conclusions: The removal of difficult common bile duct stones by electrohydraulic lithotripsy and further endoscopic retrograde cholangiopancreatography has a high success rate and a low complication rate even in the elderly. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Blackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT | en_HK |
dc.relation.ispartof | Alimentary Pharmacology and Therapeutics | en_HK |
dc.rights | Alimentary Pharmacology and Therapeutics. Copyright © Blackwell Publishing Ltd. | en_HK |
dc.subject.mesh | Aged | en_HK |
dc.subject.mesh | Aged, 80 and over | en_HK |
dc.subject.mesh | Cholangiopancreatography, Endoscopic Retrograde - adverse effects - methods | en_HK |
dc.subject.mesh | Cholangitis - etiology | en_HK |
dc.subject.mesh | Female | en_HK |
dc.subject.mesh | Follow-Up Studies | en_HK |
dc.subject.mesh | Gallstones - therapy | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.subject.mesh | Lithotripsy - methods | en_HK |
dc.subject.mesh | Male | en_HK |
dc.subject.mesh | Recurrence | en_HK |
dc.subject.mesh | Stents - adverse effects | en_HK |
dc.title | Retained common bile duct stones: A comparison between biliary stenting and complete clearance of stones by electrohydraulic lithotripsy | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0269-2813&volume=17&spage=289&epage=296&date=2003&atitle=Retained+Common+Bile+Duct+Stones:+A+Comparison+between+Biliary+Stenting+and+Complete+Clearance+of+Stones+by+Electrohydraulic+Lithotripsy | en_HK |
dc.identifier.email | Yuen, MF:mfyuen@hkucc.hku.hk | en_HK |
dc.identifier.email | Lai, CL:hrmelcl@hku.hk | en_HK |
dc.identifier.email | Wong, BCY:bcywong@hku.hk | en_HK |
dc.identifier.authority | Yuen, MF=rp00479 | en_HK |
dc.identifier.authority | Lai, CL=rp00314 | en_HK |
dc.identifier.authority | Wong, BCY=rp00429 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1046/j.1365-2036.2003.01415.x | en_HK |
dc.identifier.pmid | 12534415 | - |
dc.identifier.scopus | eid_2-s2.0-0037314926 | en_HK |
dc.identifier.hkuros | 80389 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0037314926&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 17 | en_HK |
dc.identifier.issue | 2 | en_HK |
dc.identifier.spage | 289 | en_HK |
dc.identifier.epage | 296 | en_HK |
dc.identifier.isi | WOS:000180480900015 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Hui, CK=7202876933 | en_HK |
dc.identifier.scopusauthorid | Lai, KC=7402135595 | en_HK |
dc.identifier.scopusauthorid | Ng, M=7202076310 | en_HK |
dc.identifier.scopusauthorid | Wong, WM=7403972413 | en_HK |
dc.identifier.scopusauthorid | Yuen, MF=7102031955 | en_HK |
dc.identifier.scopusauthorid | Lam, SK=7402279473 | en_HK |
dc.identifier.scopusauthorid | Lai, CL=7403086396 | en_HK |
dc.identifier.scopusauthorid | Wong, BCY=7402023340 | en_HK |
dc.identifier.issnl | 0269-2813 | - |