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Article: Role of cholecystectomy in preventing recurrent cholangitis

TitleRole of cholecystectomy in preventing recurrent cholangitis
Authors
Issue Date2002
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
Citation
Gastrointestinal Endoscopy, 2002, v. 56 n. 1, p. 55-60 How to Cite?
AbstractBackground: Whether cholecystectomy should be performed after an episode of acyte cholangitis is still unresolved. The purpose of this study was to analyze the role of elective cholecystectomy in preventing recurrent acute cholangitis in Asian patients. Methods: Two hundred ten consecutive Asian patients with acute cholangitis caused by choledocholithiasis with coexisting cholelithiasis were studied prospectively. Results: Forty-one patients (19.5%, Group 1) agreed to elective cholecystectomy whereas 169 patients (80.5%, Group 2) did not. Mean (± SEM) follow-up for Groups 1 and 2 were, respectively, 110.2 ± 6.6 and 96.8 ± 2.9 months. Endoscopic papillotomy was performed in 120 patients, 22 (53.7%) in Group 1 and 98 (58%) in Group 2. Recurrent acute cholangitis developed in 31 patients (14.8%), 9 in Group 1 and 22 in Group 2. There was no significant difference in the Kaplan-Meier estimates of the cumulative probability of occurrence of recurrent acute cholangitis between the 2 groups (p = 0.90). Recurrent acute cholangitis developed in 10 patients (8.3%) who underwent endoscopic papillotomy and in 21 (23.3%) patients who did not. There was a significant difference in the Kaplan-Meier estimates of the cumulative probability of occurrence of recurrent acute cholangitis between the patients with endoscopic papillotomy versus those without endoscopic papillotomy (p = 0.001). Conclusion: Cholecystectomy did not prevent recurrent acute cholangitis in Asian patients. In these patients, early endoscopic papillotomy lowered the frequency of recurrent acute cholangitis. Copyright © 2002 by the American Society for Gastrointestinal Endoscopy.
Persistent Identifierhttp://hdl.handle.net/10722/77296
ISSN
2015 Impact Factor: 6.217
2015 SCImago Journal Rankings: 2.390
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHui, CKen_HK
dc.contributor.authorLai, KCen_HK
dc.contributor.authorYuen, MFen_HK
dc.contributor.authorNg, MMaTen_HK
dc.contributor.authorLam, SKen_HK
dc.contributor.authorLai, CLen_HK
dc.date.accessioned2010-09-06T07:30:22Z-
dc.date.available2010-09-06T07:30:22Z-
dc.date.issued2002en_HK
dc.identifier.citationGastrointestinal Endoscopy, 2002, v. 56 n. 1, p. 55-60en_HK
dc.identifier.issn0016-5107en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77296-
dc.description.abstractBackground: Whether cholecystectomy should be performed after an episode of acyte cholangitis is still unresolved. The purpose of this study was to analyze the role of elective cholecystectomy in preventing recurrent acute cholangitis in Asian patients. Methods: Two hundred ten consecutive Asian patients with acute cholangitis caused by choledocholithiasis with coexisting cholelithiasis were studied prospectively. Results: Forty-one patients (19.5%, Group 1) agreed to elective cholecystectomy whereas 169 patients (80.5%, Group 2) did not. Mean (± SEM) follow-up for Groups 1 and 2 were, respectively, 110.2 ± 6.6 and 96.8 ± 2.9 months. Endoscopic papillotomy was performed in 120 patients, 22 (53.7%) in Group 1 and 98 (58%) in Group 2. Recurrent acute cholangitis developed in 31 patients (14.8%), 9 in Group 1 and 22 in Group 2. There was no significant difference in the Kaplan-Meier estimates of the cumulative probability of occurrence of recurrent acute cholangitis between the 2 groups (p = 0.90). Recurrent acute cholangitis developed in 10 patients (8.3%) who underwent endoscopic papillotomy and in 21 (23.3%) patients who did not. There was a significant difference in the Kaplan-Meier estimates of the cumulative probability of occurrence of recurrent acute cholangitis between the patients with endoscopic papillotomy versus those without endoscopic papillotomy (p = 0.001). Conclusion: Cholecystectomy did not prevent recurrent acute cholangitis in Asian patients. In these patients, early endoscopic papillotomy lowered the frequency of recurrent acute cholangitis. Copyright © 2002 by the American Society for Gastrointestinal Endoscopy.en_HK
dc.languageengen_HK
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gieen_HK
dc.relation.ispartofGastrointestinal Endoscopyen_HK
dc.rightsGastrointestinal Endoscopy. Copyright © Mosby, Inc.en_HK
dc.subject.meshAcute Diseaseen_HK
dc.subject.meshAmpulla of Vater - surgeryen_HK
dc.subject.meshAsian Continental Ancestry Groupen_HK
dc.subject.meshCholangitis - prevention & controlen_HK
dc.subject.meshCholecystectomyen_HK
dc.subject.meshCholelithiasis - complicationsen_HK
dc.subject.meshEndoscopy, Digestive Systemen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshRecurrenceen_HK
dc.subject.meshSurgical Procedures, Electiveen_HK
dc.titleRole of cholecystectomy in preventing recurrent cholangitisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0016-5107&volume=56&issue=1&spage=55&epage=60&date=2002&atitle=Role+of+Cholecystectomy+in+Preventing+Recurrent+Cholangitisen_HK
dc.identifier.emailYuen, MF:mfyuen@hkucc.hku.hken_HK
dc.identifier.emailLai, CL:hrmelcl@hku.hken_HK
dc.identifier.authorityYuen, MF=rp00479en_HK
dc.identifier.authorityLai, CL=rp00314en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1067/mge.2002.125545en_HK
dc.identifier.pmid12085035en_HK
dc.identifier.scopuseid_2-s2.0-0036632376en_HK
dc.identifier.hkuros80534en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036632376&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume56en_HK
dc.identifier.issue1en_HK
dc.identifier.spage55en_HK
dc.identifier.epage60en_HK
dc.identifier.isiWOS:000176579800008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridHui, CK=7202876933en_HK
dc.identifier.scopusauthoridLai, KC=7402135595en_HK
dc.identifier.scopusauthoridYuen, MF=7102031955en_HK
dc.identifier.scopusauthoridNg, MMaT=7202076310en_HK
dc.identifier.scopusauthoridLam, SK=7402279473en_HK
dc.identifier.scopusauthoridLai, CL=7403086396en_HK

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