지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 132 - 137 (6page)
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Purpose: Cholecystectomy in patients with an intact gallbladder after endoscopic removal of stones from the common bile duct (CBD) remains controversial. We conducted a case-control study to determine the risk of recurrent CBD stones and the benefit of cholecystectomy for prevention of recurrence after endoscopic removal of stones from the CBD in Korean patients.
Materials and Methods: A total of 317 patients who underwent endoscopic CBD stone extraction between 2006 and 2012 were included. Possible risk factors for the recurrence of CBD stones including previous cholecystectomy history, bile duct diameter, stone size, number of stones, stone composition, and the presence of a periampullary diverticulum were analyzed.
Results: The mean duration of follow-up after CBD stone extraction was 25.4±22.0 months. A CBD diameter of 15 mm or larger [odds ratio (OR), 1.930; 95% confidence interval (CI), 1.098 to 3.391; p=0.022] and the presence of a periampullary diverticulum (OR, 1.859; 95% CI, 1.014 to 3.408; p=0.045) were independent predictive factors for CBD stone recurrence. Seventeen patients (26.6%) in the recurrence group underwent elective cholecystectomy soon after endoscopic extraction of CBD stones, compared to 88 (34.8%) in the non-recurrence group; the difference was not statistically significant (p=0.212).
Conclusion: A CBD diameter of 15 mm or larger and the presence of a periampullary diverticulum were found to be potential predictive factors for recurrence after endoscopic extraction of CBD stones. Elective cholecystectomy after clearance of CBD stones did not reduce the incidence of recurrent CBD stones in Korean patients.
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참고문헌 (28)
참고문헌 신청
Pereira-Lima JC / 1998 / Long-term results (7 to 10 years) of endoscopic papillotomy for choledocholithiasis. Multivariate analysis of prognostic factors for the recurrence of biliary symptoms / Gastrointest Endosc 48:457~464
Geenen DJ / 1998 / The role of surveillance endoscopic retrograde cholangiopancreatography in preventing episodic cholangitis in patients with recurrent common bile duct stones / Endoscopy 30:18~20
Kim MH / 1998 / Association of periampullary diverticula with primary choledocholithiasis but not with secondary choledocholithiasis / Endoscopy 30:601~604
Tsai TJ / 2012 / The relationship between gallbladder status and recurrent biliary complications in patients with choledocholithiasis following endoscopic treatment / J Chin Med Assoc 75:560~566
Leiss O / 1985 / Effect of Rowachol on biliary lipid secretion and serum lipids in normal volunteers / Gut 26:32~37
Geenen DJ / 1998 / The role of surveillance endoscopic retrograde cholangiopancreatography in preventing episodic cholangitis in patients with recurrent common bile duct stones / Endoscopy 30:18~20
Kim MH / 1998 / Association of periampullary diverticula with primary choledocholithiasis but not with secondary choledocholithiasis / Endoscopy 30:601~604
Tsai TJ / 2012 / The relationship between gallbladder status and recurrent biliary complications in patients with choledocholithiasis following endoscopic treatment / J Chin Med Assoc 75:560~566
Leiss O / 1985 / Effect of Rowachol on biliary lipid secretion and serum lipids in normal volunteers / Gut 26:32~37
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