頁籤選單縮合
題 名 | Cholecystectomy Decreased the Recurrent Cholangitis after Clearance of Bile Duct Stones by ERCP in Patients with Gallstone-related Cholangitis |
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作 者 | Chen, Tseng-shing; Lin, Xi-hsuan; Peng, Yen-ling; Luo, Jiing-chyuan; Chen, Yung-tai; Hou, Ming-chih; Lee, Fa-yauh; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 80:11 2017.11[民106.11] |
頁 次 | 頁690-696 |
分類號 | 415.456 |
關鍵詞 | Bile duct stone; BD stone; Cholecystectomy; Cholangitis; ERCP; Endoscopic retrograde cholangiopancreatography; Endoscopic sphincterotomy; Gallstone; |
語 文 | 英文(English) |
英文摘要 | Background: This study assessed whether cholecystectomy can decrease recurrent cholangitis and all-cause mortality in patients who received endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and successful clearance of bile duct (BD) stones after gallstonerelated cholangitis. Methods: We analyzed data from the National Health Insurance research database of Taiwan. Patients who had gallstone-related cholangitis and underwent successful endoscopic clearance of BD stones were eligible for enrollment. This population-based, propensity score (PS)-matched cohort study involved 2 cohorts; (1) patients who underwent cholecystectomy after ERCP with BD stone clearance as the study group; and (2) those who had no cholecystectomy after ERCP with BD stone clearance as the control group. The primary endpoint was recurrent cholangitis, and the secondary endpoint was all-cause mortality. Results: During a mean 5.7-year follow-up, the incidence rates of recurrent cholangitis were 20.47 per 1000 person-years in the cholecystectomy cohort, and 34.60 per 1000 person-years in the PS-matched control cohort. The risk of recurrent cholangitis was significantly lower in the cholecystectomy cohort than in the control cohort (HR, 0.62; 95% confidence interval [CI], 0.45e0.87; P ¼ 0.006). The HR for all cause mortality among the cholecystectomy cohort was 0.70 (95% CI, 0.54e0.90; P ¼ 0.006) compared with the control cohort. Conclusion: Cholecystectomy decreased the recurrent cholangitis and all-cause mortality in patients with endoscopic sphincterotomy and successful clearance of BD stones after gallstone-related cholangitis. |
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