Different Types of Periampullary Duodenal Diverticula Are Associated with Occurrence and Recurrence of Bile Duct Stones: A Case-Control Study from a Chinese Center
Joint Authors
Sun, Zhen
Jiang, Ping
Bo, Wenhui
Sun, Quan
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-06
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Aims.
We here investigated the association of different types of periampullary diverticula (PAD) with pancreaticobiliary disease and with technical success of endoscopic retrograde cholangiopancreatography (ERCP).
Methods.
A total of 850 consecutive patients who underwent their first ERCP were entered into a database.
Of these patients, 161 patients (18.9%) had PAD and the age- and sex-matched control group comprised 483 patients.
Results.
PAD was correlated with common bile duct (CBD) stones (59.6% versus 35.0% in controls; P=0.008) and negatively correlated with periampullary malignancy (6.8% versus 21.5% in controls; P=0.004).
The acute pancreatitis was more frequent (62.5%) in patients with PAD type 1 followed by PAD type 2 (28.9%, P=0.017) and type 3 (28.0%, P=0.006).
No significant differences were observed in successful cannulation rate and post-ERCP complications among the 3 types of PAD.
Type 1 PAD patients had less recurrence of CBD stones than did the patients who had type 2 or type 3 PAD (53.8% versus 85.7%; P=0.043).
Conclusions.
PAD, especially type 1 PAD, is associated with an increased acute pancreatitis as well as occurrence and recurrence of CBD stones.
PAD during an ERCP should not be considered as an obstacle to a successful cannulation.
American Psychological Association (APA)
Sun, Zhen& Bo, Wenhui& Jiang, Ping& Sun, Quan. 2016. Different Types of Periampullary Duodenal Diverticula Are Associated with Occurrence and Recurrence of Bile Duct Stones: A Case-Control Study from a Chinese Center. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1104835
Modern Language Association (MLA)
Sun, Zhen…[et al.]. Different Types of Periampullary Duodenal Diverticula Are Associated with Occurrence and Recurrence of Bile Duct Stones: A Case-Control Study from a Chinese Center. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1104835
American Medical Association (AMA)
Sun, Zhen& Bo, Wenhui& Jiang, Ping& Sun, Quan. Different Types of Periampullary Duodenal Diverticula Are Associated with Occurrence and Recurrence of Bile Duct Stones: A Case-Control Study from a Chinese Center. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1104835
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104835