Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study

Recurrent stone detection is common after endoscopic treatment of common bile duct stones (CBDS). This study aimed to identify the risk factors for recurrence of CBDS. We retrospectively evaluated 14 patients who underwent endoscopic treatment for CBDS. Risk factors for single and multiple recurrent...

Descripción completa

Detalles Bibliográficos
Autores principales: Akay, Tamer, Sari, Erdem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896433/
https://www.ncbi.nlm.nih.gov/pubmed/35244085
http://dx.doi.org/10.1097/MD.0000000000029037
_version_ 1784663162864271360
author Akay, Tamer
Sari, Erdem
author_facet Akay, Tamer
Sari, Erdem
author_sort Akay, Tamer
collection PubMed
description Recurrent stone detection is common after endoscopic treatment of common bile duct stones (CBDS). This study aimed to identify the risk factors for recurrence of CBDS. We retrospectively evaluated 14 patients who underwent endoscopic treatment for CBDS. Risk factors for single and multiple recurrent CBDSs were evaluated using logistic regression analysis. Endoscopic and needle-knife precut sphincterotomy was performed in 506 and 112 patients, respectively. There was 1 recurrence in 85 patients (13.8%), 2 recurrences in 23 patients (3.7%), and 3 recurrences in 9 patients (1.5%). According to the multivariate analyses, being older than 65 years (odds ratio [OR] 1.084, P = .000), concomitant heart disease (OR 2.528, P = .002), concomitant lung disease (OR 1.766, P = .035), a large common bile duct diameter (OR 1.347, P = .000), presence of cholelithiasis (OR 1.752, P = .018), stent (OR 1.794, P = .023), or T-tube placement in the common bile duct (OR 47.385, P = .000), and prolongation of the procedure (OR 1.037, P = .000) increased the risk of recurrence, while having undergone cholecystectomy due to gallstones (OR 1.645, P = .042). The mean stone diameter (P = .059), nitroglycerin use (P = .129), and periampullary diverticulum (P = .891) did not increase the risk of recurrent CBDS. The probability of multiple recurrences after the first recurrence of CBDS increased with age >65 years, concomitant heart/lung diseases, stent/T-tube placement in the common bile duct, a wide common bile duct (≥10 mm), and cholelithiasis.
format Online
Article
Text
id pubmed-8896433
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-88964332022-03-07 Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study Akay, Tamer Sari, Erdem Medicine (Baltimore) 7100 Recurrent stone detection is common after endoscopic treatment of common bile duct stones (CBDS). This study aimed to identify the risk factors for recurrence of CBDS. We retrospectively evaluated 14 patients who underwent endoscopic treatment for CBDS. Risk factors for single and multiple recurrent CBDSs were evaluated using logistic regression analysis. Endoscopic and needle-knife precut sphincterotomy was performed in 506 and 112 patients, respectively. There was 1 recurrence in 85 patients (13.8%), 2 recurrences in 23 patients (3.7%), and 3 recurrences in 9 patients (1.5%). According to the multivariate analyses, being older than 65 years (odds ratio [OR] 1.084, P = .000), concomitant heart disease (OR 2.528, P = .002), concomitant lung disease (OR 1.766, P = .035), a large common bile duct diameter (OR 1.347, P = .000), presence of cholelithiasis (OR 1.752, P = .018), stent (OR 1.794, P = .023), or T-tube placement in the common bile duct (OR 47.385, P = .000), and prolongation of the procedure (OR 1.037, P = .000) increased the risk of recurrence, while having undergone cholecystectomy due to gallstones (OR 1.645, P = .042). The mean stone diameter (P = .059), nitroglycerin use (P = .129), and periampullary diverticulum (P = .891) did not increase the risk of recurrent CBDS. The probability of multiple recurrences after the first recurrence of CBDS increased with age >65 years, concomitant heart/lung diseases, stent/T-tube placement in the common bile duct, a wide common bile duct (≥10 mm), and cholelithiasis. Lippincott Williams & Wilkins 2022-03-04 /pmc/articles/PMC8896433/ /pubmed/35244085 http://dx.doi.org/10.1097/MD.0000000000029037 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle 7100
Akay, Tamer
Sari, Erdem
Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title_full Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title_fullStr Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title_full_unstemmed Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title_short Identification of risk factors involved in recurrence after common bile duct stone removal with ERCP: A retrospective observational study
title_sort identification of risk factors involved in recurrence after common bile duct stone removal with ercp: a retrospective observational study
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896433/
https://www.ncbi.nlm.nih.gov/pubmed/35244085
http://dx.doi.org/10.1097/MD.0000000000029037
work_keys_str_mv AT akaytamer identificationofriskfactorsinvolvedinrecurrenceaftercommonbileductstoneremovalwithercparetrospectiveobservationalstudy
AT sarierdem identificationofriskfactorsinvolvedinrecurrenceaftercommonbileductstoneremovalwithercparetrospectiveobservationalstudy