caa a22 4500 477035671 CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900043 doi (NATIONALLICENCE)springer-10.1007/s002689900043 Long-Term Follow-up after Endoscopic Treatment of Bile Duct Calculi in Cholecystectomized Patients [Elektronische Daten] [Lars-Erik Hammarström, Hans Stridbeck, Ingemar Ihse] Abstract. Endoscopic sphincterotomy (EST) is an established method for treatment of retained or recurrent common bile duct (CBD) calculi after cholecystectomy. Present experience shows that few patients have recurrent biliary tract complications, but follow-up periods are most often short. EST was performed in 147 patients with bile duct calculi and remote cholecystectomy in our department from 1981 to 1992. In 8 of 147 patients (5.4%) complete removal of calculi failed. A total of 135 patients with a median age of 71 years (range 24-96 years) were eligible for a follow-up of 23 to 153 months (median 86 months). Thirty-seven patients have died without recurrent symptoms (a recurrent stone was revealed at postmortem examination in one patient), and four patients (two with calculi and two with cholangiocarcinoma) died with recurrent symptoms from the biliary tract. Ninety-four patients are alive; and with the exception of two who have had cholangitis without or with post-EST stenosis, respectively, they are all symptom-free. Jaundice, cholangitis, and biliary pancreatitis prior to EST were the only factors that significantly (: p = 0.006, Fisher's exact test) predicted late biliary complications after EST in patients with recurrent calculi. These findings confirm that endoscopic treatment of CBD calculi in cholecystectomized patients has a low long-term rate (5 of 135; 3.7%) of recurrent nonmalignant bile duct disease (three patients with CBD calculi and two with cholangitis). 1996 by the Société Internationale de Chir, ugie Hammarström Lars-Erik Department of Surgery, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut Stridbeck Hans Department of Diagnostic Radiology, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut Ihse Ingemar Department of Surgery, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut https://doi.org/10.1007/s002689900043 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900043 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hammarström Lars-Erik Department of Surgery, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Stridbeck Hans Department of Diagnostic Radiology, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Ihse Ingemar Department of Surgery, University of Lund, Lund University Hospital, S-221 85 Lund, Sweden, SE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer