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Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients

BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is the primary choice for removing common bile duct (CBD) stones in Billroth II anatomy patients. The recurrence of CBD stones is still a challenging problem. AIM: To evaluate CBD morphology and other predictors affecting CBD stone re...

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Autores principales: Ji, Xu, Jia, Wen, Zhao, Qian, Wang, Yao, Ma, Shu-Ren, Xu, Lu, Kan, Ying, Cao, Yang, Fan, Bao-Jun, Yang, Zhuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462226/
https://www.ncbi.nlm.nih.gov/pubmed/34621818
http://dx.doi.org/10.12998/wjcc.v9.i26.7671
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author Ji, Xu
Jia, Wen
Zhao, Qian
Wang, Yao
Ma, Shu-Ren
Xu, Lu
Kan, Ying
Cao, Yang
Fan, Bao-Jun
Yang, Zhuo
author_facet Ji, Xu
Jia, Wen
Zhao, Qian
Wang, Yao
Ma, Shu-Ren
Xu, Lu
Kan, Ying
Cao, Yang
Fan, Bao-Jun
Yang, Zhuo
author_sort Ji, Xu
collection PubMed
description BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is the primary choice for removing common bile duct (CBD) stones in Billroth II anatomy patients. The recurrence of CBD stones is still a challenging problem. AIM: To evaluate CBD morphology and other predictors affecting CBD stone recurrence. METHODS: A retrospective case-control analysis was performed on 138 CBD stones patients with a history of Billroth II gastrectomy, who underwent therapeutic ERCP for stone extraction at our center from January 2011 to October 2020. CBD morphology and other predictors affecting CBD stone recurrence were examined by univariate analysis and multivariate logistic regression analysis. RESULTS: CBD morphology (P < 0.01) and CBD diameter ≥ 1.5 cm (odds ratio [OR] = 6.15, 95% confidence interval [CI]: 1.87-20.24, P < 0.01) were the two independent risk factors. In multivariate analysis, the recurrence rate of patients with S type was 16.79 times that of patients with straight type (OR = 16.79, 95%CI: 4.26-66.09, P < 0.01), the recurrence rate of patients with polyline type was 4.97 times that of patients with straight type (OR = 4.97, 95%CI: 1.42-17.38, P = 0.01), and the recurrence rate of S type patients was 3.38 times that of patients with polyline type (OR = 3.38, 95%CI: 1.07-10.72, P = 0.04). CONCLUSION: CBD morphology, especially S type and polyline type, is associated with increased recurrence of CBD stones in Billroth II anatomy patients.
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spelling pubmed-84622262021-10-06 Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients Ji, Xu Jia, Wen Zhao, Qian Wang, Yao Ma, Shu-Ren Xu, Lu Kan, Ying Cao, Yang Fan, Bao-Jun Yang, Zhuo World J Clin Cases Case Control Study BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is the primary choice for removing common bile duct (CBD) stones in Billroth II anatomy patients. The recurrence of CBD stones is still a challenging problem. AIM: To evaluate CBD morphology and other predictors affecting CBD stone recurrence. METHODS: A retrospective case-control analysis was performed on 138 CBD stones patients with a history of Billroth II gastrectomy, who underwent therapeutic ERCP for stone extraction at our center from January 2011 to October 2020. CBD morphology and other predictors affecting CBD stone recurrence were examined by univariate analysis and multivariate logistic regression analysis. RESULTS: CBD morphology (P < 0.01) and CBD diameter ≥ 1.5 cm (odds ratio [OR] = 6.15, 95% confidence interval [CI]: 1.87-20.24, P < 0.01) were the two independent risk factors. In multivariate analysis, the recurrence rate of patients with S type was 16.79 times that of patients with straight type (OR = 16.79, 95%CI: 4.26-66.09, P < 0.01), the recurrence rate of patients with polyline type was 4.97 times that of patients with straight type (OR = 4.97, 95%CI: 1.42-17.38, P = 0.01), and the recurrence rate of S type patients was 3.38 times that of patients with polyline type (OR = 3.38, 95%CI: 1.07-10.72, P = 0.04). CONCLUSION: CBD morphology, especially S type and polyline type, is associated with increased recurrence of CBD stones in Billroth II anatomy patients. Baishideng Publishing Group Inc 2021-09-16 2021-09-16 /pmc/articles/PMC8462226/ /pubmed/34621818 http://dx.doi.org/10.12998/wjcc.v9.i26.7671 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Control Study
Ji, Xu
Jia, Wen
Zhao, Qian
Wang, Yao
Ma, Shu-Ren
Xu, Lu
Kan, Ying
Cao, Yang
Fan, Bao-Jun
Yang, Zhuo
Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title_full Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title_fullStr Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title_full_unstemmed Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title_short Common bile duct morphology is associated with recurrence of common bile duct stones in Billroth II anatomy patients
title_sort common bile duct morphology is associated with recurrence of common bile duct stones in billroth ii anatomy patients
topic Case Control Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462226/
https://www.ncbi.nlm.nih.gov/pubmed/34621818
http://dx.doi.org/10.12998/wjcc.v9.i26.7671
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