Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy
Purpose. The recurrence of CBD stone is still observed in a considerable number of patients. The study was to evaluate the risk factors for recurrence of symptomatic CBD stone in patients who underwent cholecystectomy after the removal of CBD stone. Methods. The medical records of patients who under...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/417821 |
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| _version_ | 1850232334410842112 |
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| author | Ju Hyun Oak Chang Nyol Paik Woo Chul Chung Kang-Moon Lee Jin Mo Yang |
| author_facet | Ju Hyun Oak Chang Nyol Paik Woo Chul Chung Kang-Moon Lee Jin Mo Yang |
| author_sort | Ju Hyun Oak |
| collection | DOAJ |
| description | Purpose. The recurrence of CBD stone is still observed in a considerable number of patients. The study was to evaluate the risk factors for recurrence of symptomatic CBD stone in patients who underwent cholecystectomy after the removal of CBD stone. Methods. The medical records of patients who underwent removal of CBD stone with subsequent cholecystectomy were reviewed. The risk factors for the recurrence of symptomatic CBD stone were compared between the recurrence and the nonrecurrence group. Results. The mean follow-up period was 40.6 months. The recurrence of symptomatic CBD stones was defined as the detection of bile duct stones no sooner than 6 months after complete clearance of CBD stones, based on symptoms or signs of biliary complication. 144 patients (68 males, 47.2%) were finally enrolled and their mean age was 59.8 (range: 26~86) years. The recurrence of CBD stone occurred in 15 patients (10.4%). The mean period until first recurrence was 25.9 months. The presence of type 1 or 2 periampullary diverticulum and multiple CBD stones were the independent risk factors. Conclusion. For the patients with type 1 or 2 periampullary diverticulum or multiple CBD stones, careful followup is needed for the risk in recurrence of symptomatic CBD stone. |
| format | Article |
| id | doaj-art-00a4519ffbb849e982abf4a9cdde9e25 |
| institution | OA Journals |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-00a4519ffbb849e982abf4a9cdde9e252025-08-20T02:03:14ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/417821417821Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after CholecystectomyJu Hyun Oak0Chang Nyol Paik1Woo Chul Chung2Kang-Moon Lee3Jin Mo Yang4Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of KoreaDepartment of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of KoreaDepartment of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of KoreaDepartment of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of KoreaDepartment of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of KoreaPurpose. The recurrence of CBD stone is still observed in a considerable number of patients. The study was to evaluate the risk factors for recurrence of symptomatic CBD stone in patients who underwent cholecystectomy after the removal of CBD stone. Methods. The medical records of patients who underwent removal of CBD stone with subsequent cholecystectomy were reviewed. The risk factors for the recurrence of symptomatic CBD stone were compared between the recurrence and the nonrecurrence group. Results. The mean follow-up period was 40.6 months. The recurrence of symptomatic CBD stones was defined as the detection of bile duct stones no sooner than 6 months after complete clearance of CBD stones, based on symptoms or signs of biliary complication. 144 patients (68 males, 47.2%) were finally enrolled and their mean age was 59.8 (range: 26~86) years. The recurrence of CBD stone occurred in 15 patients (10.4%). The mean period until first recurrence was 25.9 months. The presence of type 1 or 2 periampullary diverticulum and multiple CBD stones were the independent risk factors. Conclusion. For the patients with type 1 or 2 periampullary diverticulum or multiple CBD stones, careful followup is needed for the risk in recurrence of symptomatic CBD stone.http://dx.doi.org/10.1155/2012/417821 |
| spellingShingle | Ju Hyun Oak Chang Nyol Paik Woo Chul Chung Kang-Moon Lee Jin Mo Yang Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy Gastroenterology Research and Practice |
| title | Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy |
| title_full | Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy |
| title_fullStr | Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy |
| title_full_unstemmed | Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy |
| title_short | Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy |
| title_sort | risk factors for recurrence of symptomatic common bile duct stones after cholecystectomy |
| url | http://dx.doi.org/10.1155/2012/417821 |
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