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Article: The role of cholecystectomy in reducing recurrent gallstone pancreatitis

TitleThe role of cholecystectomy in reducing recurrent gallstone pancreatitis
Authors
Issue Date2004
PublisherGeorg Thieme Verlag. The Journal's web site is located at http://www.thieme.de/endoscopy/index.html
Citation
Endoscopy, 2004, v. 36 n. 3, p. 206-211 How to Cite?
AbstractBackground and Study Aim: Endoscopic sphincterotomy (ES) or cholecystectomy can prevent recurrent acute pancreatitis (RAP) in patients with gallstone-related pancreatitis. However, it is unknown whether cholecystectomy after ES offers additional benefit in preventing RAP in these patients. This is a retrospective study to assess whether cholecystectomy can decrease the incidence of RAP in patients with gallstone-related pancreatitis. Patients and Methods: Records from 139 patients with gallstone-related pancreatitis were analyzed. Of these, 58 patients had gallbladder stones with concomitant common bile duct (CBD) stones and 81 patients had gallbladder stones without CBD stones. Of the 58 patients who had both gallbladder and CBD stones, 37 (63.8%) did not undergo cholecystectomy after ES (group 1) and 21 patients (36.2%) did undergo cholecystectomy after ES (group 2). Of the 81 patients who had gallbladder stones but who did not have CBD stones, 54 (66.7%) did not undergo cholecystectomy (group 3) and 27 (33.3%) did undergo cholecystectomy (group 4). Results: At the time of analysis, three patients (8.1%) in group 1 and three patients (14.3%) in group 2 developed RAP. There was no significant difference in the estimated probability of occurrence of RAP over time between group 1 and group 2 (P= 0.41). However, there was a significantly higher probability of patients developing RAP over time in group 3 compared with group 4 (6/54 vs. 0/27 respectively, P = 0.04). Conclusion: In patients with gallbladder stones without CBD stones, cholecystectomy can decrease the incidence of RAP. In patients with both gallbladder and CBD stones, however, the risk of RAP was not further reduced by cholecystectomy after ES and complete removal of CBD stones. © Georg Thieme Verlag Stuttgart.
Persistent Identifierhttp://hdl.handle.net/10722/78246
ISSN
2015 Impact Factor: 5.634
2015 SCImago Journal Rankings: 1.692
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHui, CKen_HK
dc.contributor.authorLai, KCen_HK
dc.contributor.authorYuen, MFen_HK
dc.contributor.authorWong, WMen_HK
dc.contributor.authorChan, AOOen_HK
dc.contributor.authorNg, Men_HK
dc.contributor.authorChan, CKen_HK
dc.contributor.authorCheung, WWen_HK
dc.contributor.authorLam, SKen_HK
dc.contributor.authorLai, CLen_HK
dc.contributor.authorWong, BCYen_HK
dc.date.accessioned2010-09-06T07:40:46Z-
dc.date.available2010-09-06T07:40:46Z-
dc.date.issued2004en_HK
dc.identifier.citationEndoscopy, 2004, v. 36 n. 3, p. 206-211en_HK
dc.identifier.issn0013-726Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/78246-
dc.description.abstractBackground and Study Aim: Endoscopic sphincterotomy (ES) or cholecystectomy can prevent recurrent acute pancreatitis (RAP) in patients with gallstone-related pancreatitis. However, it is unknown whether cholecystectomy after ES offers additional benefit in preventing RAP in these patients. This is a retrospective study to assess whether cholecystectomy can decrease the incidence of RAP in patients with gallstone-related pancreatitis. Patients and Methods: Records from 139 patients with gallstone-related pancreatitis were analyzed. Of these, 58 patients had gallbladder stones with concomitant common bile duct (CBD) stones and 81 patients had gallbladder stones without CBD stones. Of the 58 patients who had both gallbladder and CBD stones, 37 (63.8%) did not undergo cholecystectomy after ES (group 1) and 21 patients (36.2%) did undergo cholecystectomy after ES (group 2). Of the 81 patients who had gallbladder stones but who did not have CBD stones, 54 (66.7%) did not undergo cholecystectomy (group 3) and 27 (33.3%) did undergo cholecystectomy (group 4). Results: At the time of analysis, three patients (8.1%) in group 1 and three patients (14.3%) in group 2 developed RAP. There was no significant difference in the estimated probability of occurrence of RAP over time between group 1 and group 2 (P= 0.41). However, there was a significantly higher probability of patients developing RAP over time in group 3 compared with group 4 (6/54 vs. 0/27 respectively, P = 0.04). Conclusion: In patients with gallbladder stones without CBD stones, cholecystectomy can decrease the incidence of RAP. In patients with both gallbladder and CBD stones, however, the risk of RAP was not further reduced by cholecystectomy after ES and complete removal of CBD stones. © Georg Thieme Verlag Stuttgart.en_HK
dc.languageengen_HK
dc.publisherGeorg Thieme Verlag. The Journal's web site is located at http://www.thieme.de/endoscopy/index.htmlen_HK
dc.relation.ispartofEndoscopyen_HK
dc.rightsEndoscopy. Copyright © Georg Thieme Verlag.en_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshCholecystectomy - methodsen_HK
dc.subject.meshCholedocholithiasis - complications - surgeryen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPancreatitis - etiology - prevention & controlen_HK
dc.subject.meshRecurrenceen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshSphincterotomy, Endoscopic - methodsen_HK
dc.titleThe role of cholecystectomy in reducing recurrent gallstone pancreatitisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0013-726X&volume=36&issue=3&spage=206&epage=11&date=2004&atitle=The+Role+of+Cholecystectomy+in+Reducing+Recurrent+Gallstone+Pancreatitisen_HK
dc.identifier.emailYuen, MF:mfyuen@hkucc.hku.hken_HK
dc.identifier.emailLai, CL:hrmelcl@hku.hken_HK
dc.identifier.emailWong, BCY:bcywong@hku.hken_HK
dc.identifier.authorityYuen, MF=rp00479en_HK
dc.identifier.authorityLai, CL=rp00314en_HK
dc.identifier.authorityWong, BCY=rp00429en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1055/s-2004-814249en_HK
dc.identifier.pmid14986217-
dc.identifier.scopuseid_2-s2.0-1442301603en_HK
dc.identifier.hkuros85813en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1442301603&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume36en_HK
dc.identifier.issue3en_HK
dc.identifier.spage206en_HK
dc.identifier.epage211en_HK
dc.identifier.isiWOS:000220048500003-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridHui, CK=7202876933en_HK
dc.identifier.scopusauthoridLai, KC=7402135595en_HK
dc.identifier.scopusauthoridYuen, MF=7102031955en_HK
dc.identifier.scopusauthoridWong, WM=7403972413en_HK
dc.identifier.scopusauthoridChan, AOO=7403167965en_HK
dc.identifier.scopusauthoridNg, M=7202076310en_HK
dc.identifier.scopusauthoridChan, CK=7404813960en_HK
dc.identifier.scopusauthoridCheung, WW=8615134400en_HK
dc.identifier.scopusauthoridLam, SK=7402279473en_HK
dc.identifier.scopusauthoridLai, CL=7403086396en_HK
dc.identifier.scopusauthoridWong, BCY=7402023340en_HK

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