Long-term results (7 to 10 years) of endoscopic papillotomy for choledocholithiasis. Multivariate analysis of prognostic factors for the recurrence of biliary symptoms

摘要: Abstract Background: The long-term outcome after endoscopic papillotomy is poorly defined. aim of this study was to determine the results method in treatment common duct calculi and which prognostic factors are associated with relapse biliary symptoms. Methods: Between 1985 1988, 223 consecutive (149 women, mean age 67.9 years) patients underwent for stones; 127 had already undergone cholecystectomy or operation during same hospitalization. Follow-up data were obtained retrospectively from patients' relatives general practitioners. Results: procedure successful 217 cases (97%), 203 followed-up; 2 died first month (0.89%). Mean follow-up 201 6.2 years, 31 relapsed (15%). Three significant late complications identified a multivariate analysis. recurrence rate symptoms who left an situ gallbladder 20.2%, 11% those whose removed ( p = 0.04). Patients bile 15 mm greater diameter more prone than 10 less (41% vs. 10%, 0.025) especially at higher risk develop recurrent stones (19.5% 4.9%, 0.019). Stone recurrence, but not as whole, frequent peripapillary diverticulum 0.035). Conclusions: comparable surgical techniques. whole choledochal diameter. Bile size diverticula stones. (Gastrointest Endosc 1998;48:457-64.)