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Title of Journal: Dig Dis Sci

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Abbravation: Digestive Diseases and Sciences

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Springer US

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DOI

10.1002/cite.330640223

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ISSN

1573-2568

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Prognostic Factors and Postoperative Recurrence of

Authors: Hailian Mu Jianfei Gao Qingyin Kong Kaitong Jiang Cuiyue Wang Aihua Wang Xianzhong Zeng Yanqing Li
Publish Date: 2015/02/10
Volume: 60, Issue: 7, Pages: 2144-2149
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Abstract

Three hundred patients who were hospitalized between June 2007 and June 2008 with common bile duct stones 10 mm in diameter were randomly assigned to the EST or ESTEPBD group We compared the shortterm ≤3 years and longterm 3 years recurrence of ductal stones in the two groups over a 72month followup period Potential risk factors were evaluated using a logistic regression analysisA total of 291 patients completed the study The shortterm recurrence rate in the EST group was not significantly higher than that in the ESTEPBD group P  005 The longterm recurrence rate for the EST group was significantly higher than that for the ESTEPBD group P  005 The serum level of cholesterol body mass index gallstones maximum stone diameter number of stones and mechanical lithotripsy were risk factors for the recurrence of ductal stones Minimal size of the duodenal papilla incision was a protective factor with regard to the recurrence of ductal stones Cholecystectomy sex and age were not associated with the recurrence of ductal stonesSmallincision ESTEPBD has a similar overall success rate and a significantly lower rate of the recurrence of ductal stones compared with those of EST alone Thus the curative effect of ESTEPBD is better than that of EST alone Minimal size of the duodenal papilla incision protects against the recurrence of ductal stones

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