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Article: Endoscopic sphincterotomy: 7-Year experience

TitleEndoscopic sphincterotomy: 7-Year experience
Authors
Issue Date1997
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/
Citation
World Journal Of Surgery, 1997, v. 21 n. 1, p. 67-71 How to Cite?
AbstractThe present study documents the indications and results of endoscopic sphincterotomy (ES) performed over 7 years in a surgical endoscopy unit. Potential improvement of results over this time period was analyzed. ES was associated with rare but undesirable morbidity and mortality. Specific improvement of results over time has not been reported. ES was attempted in 706 patients (336 men, 370 women) from 1987 to 1994 and was accomplished in 689 patients (97.6%). Complications occurred in 50 patients (7.1%), 13 of whom required emergency operative intervention. The overall 30-day mortality was 4.7% (n = 33), and procedure-related mortality was 0.7% (n = 5). There was a significant decrease in hospital mortality (p < 0.01) and operative intervention for procedure-related complications (P < 0.001) after 1990. Procedure-related mortality has been reduced from 1.3% to 0.3% since 1990 (p = 0.1). ES in emergency situations or for malignant biliary obstruction did not adversely affect the outcome. It was concluded that ES can be performed safely in most patients. With increasing experience, procedure-related morbidity and mortality can possibly be reduced.
Persistent Identifierhttp://hdl.handle.net/10722/172734
ISSN
2015 Impact Factor: 2.523
2015 SCImago Journal Rankings: 1.375
References

 

DC FieldValueLanguage
dc.contributor.authorLo, CYen_US
dc.contributor.authorLai, ECSen_US
dc.contributor.authorLo, CMen_US
dc.contributor.authorMok, FPTen_US
dc.contributor.authorChu, KMen_US
dc.contributor.authorLiu, CLen_US
dc.contributor.authorFan, STen_US
dc.date.accessioned2012-10-30T06:24:34Z-
dc.date.available2012-10-30T06:24:34Z-
dc.date.issued1997en_US
dc.identifier.citationWorld Journal Of Surgery, 1997, v. 21 n. 1, p. 67-71en_US
dc.identifier.issn0364-2313en_US
dc.identifier.urihttp://hdl.handle.net/10722/172734-
dc.description.abstractThe present study documents the indications and results of endoscopic sphincterotomy (ES) performed over 7 years in a surgical endoscopy unit. Potential improvement of results over this time period was analyzed. ES was associated with rare but undesirable morbidity and mortality. Specific improvement of results over time has not been reported. ES was attempted in 706 patients (336 men, 370 women) from 1987 to 1994 and was accomplished in 689 patients (97.6%). Complications occurred in 50 patients (7.1%), 13 of whom required emergency operative intervention. The overall 30-day mortality was 4.7% (n = 33), and procedure-related mortality was 0.7% (n = 5). There was a significant decrease in hospital mortality (p < 0.01) and operative intervention for procedure-related complications (P < 0.001) after 1990. Procedure-related mortality has been reduced from 1.3% to 0.3% since 1990 (p = 0.1). ES in emergency situations or for malignant biliary obstruction did not adversely affect the outcome. It was concluded that ES can be performed safely in most patients. With increasing experience, procedure-related morbidity and mortality can possibly be reduced.en_US
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/en_US
dc.relation.ispartofWorld Journal of Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshChi-Square Distributionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshSphincterotomy, Endoscopic - Adverse Effects - Mortality - Statistics & Numerical Dataen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleEndoscopic sphincterotomy: 7-Year experienceen_US
dc.typeArticleen_US
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_US
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityLo, CM=rp00412en_US
dc.identifier.authorityChu, KM=rp00435en_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s002689900195en_US
dc.identifier.pmid8943180-
dc.identifier.scopuseid_2-s2.0-0031022425en_US
dc.identifier.hkuros22234-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031022425&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume21en_US
dc.identifier.issue1en_US
dc.identifier.spage67en_US
dc.identifier.epage71en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLo, CY=36151700700en_US
dc.identifier.scopusauthoridLai, ECS=55187462300en_US
dc.identifier.scopusauthoridLo, CM=7401771672en_US
dc.identifier.scopusauthoridMok, FPT=6603786245en_US
dc.identifier.scopusauthoridChu, KM=7402453538en_US
dc.identifier.scopusauthoridLiu, CL=7409789712en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US

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