Between 1983 and 1988, endoscopic sphincterotomy was attempted on 1000 consecutive patients with a clinical diagnosis of bileduct stones in a centre with a policy to establish immediate bileduct drainage for retained stones. Endoscopic cholangiography was successful in 985 patients, of whom 782 had visible stones and 203 had a dilated bileduct but no visible stones. Endoscopic sphincterotomy was successful in 975 of these patients, with eventual bileduct clearance in 674 of 772 patients (87·3%) with visible stones; immediate bileduct drainage was achieved in 160 of the 161 patients (99%) in whom bileduct clearance failed at the first attempt. Overall, 771 of 797 patients (96·7%) with visible bileduct stones had successful bileduct clearance or drainage. Complications occurred in 6·9%, with a 30-day mortality rate of 1·2%, but procedure-related mortality was only 0·6%. © 1989.
ENDOSCOPIC SPHINCTEROTOMY IN 1000 CONSECUTIVE PATIENTS / Vaira D.; Ainley C.; Williams S.; Cairns S.; Salmon P.; Russell C.; D'Anna L.; Dowsett J.; Baillie J.; Croker J.; Cotton P.; Hatfield A.. - In: THE LANCET. - ISSN 0140-6736. - STAMPA. - 334:8660(1989), pp. 431-434. [10.1016/S0140-6736(89)90602-8]
ENDOSCOPIC SPHINCTEROTOMY IN 1000 CONSECUTIVE PATIENTS
Vaira D.;Salmon P.;
1989
Abstract
Between 1983 and 1988, endoscopic sphincterotomy was attempted on 1000 consecutive patients with a clinical diagnosis of bileduct stones in a centre with a policy to establish immediate bileduct drainage for retained stones. Endoscopic cholangiography was successful in 985 patients, of whom 782 had visible stones and 203 had a dilated bileduct but no visible stones. Endoscopic sphincterotomy was successful in 975 of these patients, with eventual bileduct clearance in 674 of 772 patients (87·3%) with visible stones; immediate bileduct drainage was achieved in 160 of the 161 patients (99%) in whom bileduct clearance failed at the first attempt. Overall, 771 of 797 patients (96·7%) with visible bileduct stones had successful bileduct clearance or drainage. Complications occurred in 6·9%, with a 30-day mortality rate of 1·2%, but procedure-related mortality was only 0·6%. © 1989.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
