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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1987-12-14
|
| pubmed:abstractText |
The outcome of 438 consecutive patients who had exploration of the common bile duct and/or endoscopic sphincterotomy (ES) in a 5-year period was reviewed. Patients were analysed according to four groups: 59 patients had planned ES followed by surgery resulting in 14 major complications (23.7 per cent) including 3 deaths (5.1 per cent) (group 1); 248 patients had surgery alone with 21 major complications (8.5 per cent) including 10 deaths (4.0 per cent) (group 2); 114 patients with gallbladder in situ underwent ES alone with 22 major complications (19.3 per cent) including 9 deaths (7.9 per cent) (group 3); 17 patients with remote cholecystectomy also had ES alone with 3 major complications (17.6 per cent) including 3 deaths (17.6 per cent) (group 4). There was no difference in mortality between the groups. Compared with group 2, major complications were significantly higher in group 1 (chi 2 = 11.0, d.f. = 1, P less than 0.001) and in group 3 (chi 2 = 8.6, d.f. = 1, P less than 0.003). Patients in group 3, however, were significantly older than those in groups 1 and 2, and the former also had higher medical and total risk factor scores than the latter (all P less than 0.001). The results indicate that routine pre-operative ES is of questionable value. ES alone is justified in elderly high risk patients; mortality in this group might be reduced by improved management of post-ES complications.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0007-1323
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
74
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
916-21
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:3664223-Adolescent,
pubmed-meshheading:3664223-Adult,
pubmed-meshheading:3664223-Aged,
pubmed-meshheading:3664223-Aged, 80 and over,
pubmed-meshheading:3664223-Cholecystectomy,
pubmed-meshheading:3664223-Endoscopy,
pubmed-meshheading:3664223-Female,
pubmed-meshheading:3664223-Gallstones,
pubmed-meshheading:3664223-Humans,
pubmed-meshheading:3664223-Male,
pubmed-meshheading:3664223-Middle Aged,
pubmed-meshheading:3664223-Postoperative Complications,
pubmed-meshheading:3664223-Risk Factors
|
| pubmed:year |
1987
|
| pubmed:articleTitle |
Study of common bile duct exploration and endoscopic sphincterotomy in a consecutive series of 438 patients.
|
| pubmed:affiliation |
Leicester Royal Infirmary, UK.
|
| pubmed:publicationType |
Journal Article
|