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Surg Endosc. 2004 Mar;18(3):363-6. Epub 2004 Jan 14.

Long-term symptoms following endoscopic sphincterotomy for common bile duct stones.

Author information

1
Department of Surgery, Calderdale Royal Hospital, Salterhebble, Halifax, England HX3 OPW, United Kingdom. rmacadam@blueyonder.co.uk

Abstract

BACKGROUND:

Endoscopic sphincterotomy (ES) has an important role in the management of biliary stones. However, the long-term effects of free duodenobiliary reflux are not established, and it may lead to low-grade morbidity.

METHODS:

We used a questionnaire survey to assess the prevalence of symptoms of biliary disorder in patients who had undergone endoscopic retrograde cholangio pancreatography (ERCP) and ES under the care of a single surgeon (R.J.R.G) between November 1993 and May 1998.

RESULTS:

ES was carried out on 136 patients during this period. Current addresses were available for 94 patients, and 54 of them (57%) responded. Patients were surveyed a mean of 43 months after ES. Only 42.1% of patients denied having any symptoms. Nausea and pale stools were reported by 28% and 26% of patients, respectively, and nearly one-fifth of patients had symptoms suggestive of cholangitis. In addition, 18.5% of patients experienced one or more symptoms frequently.

CONCLUSION:

Severe long-term symptoms are uncommon following ES; however, a significant minority of patients do suffer occasional symptoms that suggest biliary dysfunction.

PMID:
14716552
DOI:
10.1007/s00464-002-9285-9
[Indexed for MEDLINE]

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