Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts

Peter B. Cotton, Joseph E. Geenen, Stuart Sherman, John T Cunningham, Douglas A. Howell, David L. Carr-Locke, Nicholas J. Nickl, Robert H. Hawes, Glen A. Lehman, A. Ferrari, Adam Slivka, David R. Lichtenstein, John Baillie, Paul S. Jowell, Laura M. Lail, Harry Evangelou, John J. Bosco, Brian L. Hanson, Brenda J. Hoffman, Soroya M. RahamanRene Male

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Objective: To provide current information on the risks of endoscopic sphincterotomy for stone. Summary Background Data: In recent years (since the popularity of laparoscopic cholecystectomy), endoscopic sphincterotomy has been used increasingly for the management of bile duct stones in relatively young and healthy patients. The validity of this trend has been questioned using data on short-term complications derived from earlier decades that involved more elderly and high-risk patients. Methods: Seven academic centers collected data prospectively using a common database. Complications within 30 days of the procedures were documented by standard criteria. Results: Of 1921 patients, 112 (5.8%) developed complications; two thirds of these events were graded as mild (<3 days in hospital). There was no evidence of increased risk in younger patients or in those with smaller bile ducts. There was only one severe complication and there were no fatalities in 238 patients age <60, with bile duct diameters of <9 mm. Conclusion: Sphincterotomy for stones can be performed very safely by experienced endoscopists.

Original languageEnglish (US)
Pages (from-to)201-204
Number of pages4
JournalAnnals of Surgery
Volume227
Issue number2
DOIs
StatePublished - Feb 1998
Externally publishedYes

Fingerprint

Endoscopic Sphincterotomy
Bile Ducts
Laparoscopic Cholecystectomy
Databases

ASJC Scopus subject areas

  • Surgery

Cite this

Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts. / Cotton, Peter B.; Geenen, Joseph E.; Sherman, Stuart; Cunningham, John T; Howell, Douglas A.; Carr-Locke, David L.; Nickl, Nicholas J.; Hawes, Robert H.; Lehman, Glen A.; Ferrari, A.; Slivka, Adam; Lichtenstein, David R.; Baillie, John; Jowell, Paul S.; Lail, Laura M.; Evangelou, Harry; Bosco, John J.; Hanson, Brian L.; Hoffman, Brenda J.; Rahaman, Soroya M.; Male, Rene.

In: Annals of Surgery, Vol. 227, No. 2, 02.1998, p. 201-204.

Research output: Contribution to journalArticle

Cotton, PB, Geenen, JE, Sherman, S, Cunningham, JT, Howell, DA, Carr-Locke, DL, Nickl, NJ, Hawes, RH, Lehman, GA, Ferrari, A, Slivka, A, Lichtenstein, DR, Baillie, J, Jowell, PS, Lail, LM, Evangelou, H, Bosco, JJ, Hanson, BL, Hoffman, BJ, Rahaman, SM & Male, R 1998, 'Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts', Annals of Surgery, vol. 227, no. 2, pp. 201-204. https://doi.org/10.1097/00000658-199802000-00008
Cotton, Peter B. ; Geenen, Joseph E. ; Sherman, Stuart ; Cunningham, John T ; Howell, Douglas A. ; Carr-Locke, David L. ; Nickl, Nicholas J. ; Hawes, Robert H. ; Lehman, Glen A. ; Ferrari, A. ; Slivka, Adam ; Lichtenstein, David R. ; Baillie, John ; Jowell, Paul S. ; Lail, Laura M. ; Evangelou, Harry ; Bosco, John J. ; Hanson, Brian L. ; Hoffman, Brenda J. ; Rahaman, Soroya M. ; Male, Rene. / Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts. In: Annals of Surgery. 1998 ; Vol. 227, No. 2. pp. 201-204.
@article{147601ad2c51447788ed380765907069,
title = "Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts",
abstract = "Objective: To provide current information on the risks of endoscopic sphincterotomy for stone. Summary Background Data: In recent years (since the popularity of laparoscopic cholecystectomy), endoscopic sphincterotomy has been used increasingly for the management of bile duct stones in relatively young and healthy patients. The validity of this trend has been questioned using data on short-term complications derived from earlier decades that involved more elderly and high-risk patients. Methods: Seven academic centers collected data prospectively using a common database. Complications within 30 days of the procedures were documented by standard criteria. Results: Of 1921 patients, 112 (5.8{\%}) developed complications; two thirds of these events were graded as mild (<3 days in hospital). There was no evidence of increased risk in younger patients or in those with smaller bile ducts. There was only one severe complication and there were no fatalities in 238 patients age <60, with bile duct diameters of <9 mm. Conclusion: Sphincterotomy for stones can be performed very safely by experienced endoscopists.",
author = "Cotton, {Peter B.} and Geenen, {Joseph E.} and Stuart Sherman and Cunningham, {John T} and Howell, {Douglas A.} and Carr-Locke, {David L.} and Nickl, {Nicholas J.} and Hawes, {Robert H.} and Lehman, {Glen A.} and A. Ferrari and Adam Slivka and Lichtenstein, {David R.} and John Baillie and Jowell, {Paul S.} and Lail, {Laura M.} and Harry Evangelou and Bosco, {John J.} and Hanson, {Brian L.} and Hoffman, {Brenda J.} and Rahaman, {Soroya M.} and Rene Male",
year = "1998",
month = "2",
doi = "10.1097/00000658-199802000-00008",
language = "English (US)",
volume = "227",
pages = "201--204",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts

AU - Cotton, Peter B.

AU - Geenen, Joseph E.

AU - Sherman, Stuart

AU - Cunningham, John T

AU - Howell, Douglas A.

AU - Carr-Locke, David L.

AU - Nickl, Nicholas J.

AU - Hawes, Robert H.

AU - Lehman, Glen A.

AU - Ferrari, A.

AU - Slivka, Adam

AU - Lichtenstein, David R.

AU - Baillie, John

AU - Jowell, Paul S.

AU - Lail, Laura M.

AU - Evangelou, Harry

AU - Bosco, John J.

AU - Hanson, Brian L.

AU - Hoffman, Brenda J.

AU - Rahaman, Soroya M.

AU - Male, Rene

PY - 1998/2

Y1 - 1998/2

N2 - Objective: To provide current information on the risks of endoscopic sphincterotomy for stone. Summary Background Data: In recent years (since the popularity of laparoscopic cholecystectomy), endoscopic sphincterotomy has been used increasingly for the management of bile duct stones in relatively young and healthy patients. The validity of this trend has been questioned using data on short-term complications derived from earlier decades that involved more elderly and high-risk patients. Methods: Seven academic centers collected data prospectively using a common database. Complications within 30 days of the procedures were documented by standard criteria. Results: Of 1921 patients, 112 (5.8%) developed complications; two thirds of these events were graded as mild (<3 days in hospital). There was no evidence of increased risk in younger patients or in those with smaller bile ducts. There was only one severe complication and there were no fatalities in 238 patients age <60, with bile duct diameters of <9 mm. Conclusion: Sphincterotomy for stones can be performed very safely by experienced endoscopists.

AB - Objective: To provide current information on the risks of endoscopic sphincterotomy for stone. Summary Background Data: In recent years (since the popularity of laparoscopic cholecystectomy), endoscopic sphincterotomy has been used increasingly for the management of bile duct stones in relatively young and healthy patients. The validity of this trend has been questioned using data on short-term complications derived from earlier decades that involved more elderly and high-risk patients. Methods: Seven academic centers collected data prospectively using a common database. Complications within 30 days of the procedures were documented by standard criteria. Results: Of 1921 patients, 112 (5.8%) developed complications; two thirds of these events were graded as mild (<3 days in hospital). There was no evidence of increased risk in younger patients or in those with smaller bile ducts. There was only one severe complication and there were no fatalities in 238 patients age <60, with bile duct diameters of <9 mm. Conclusion: Sphincterotomy for stones can be performed very safely by experienced endoscopists.

UR - http://www.scopus.com/inward/record.url?scp=0031885342&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031885342&partnerID=8YFLogxK

U2 - 10.1097/00000658-199802000-00008

DO - 10.1097/00000658-199802000-00008

M3 - Article

C2 - 9488517

AN - SCOPUS:0031885342

VL - 227

SP - 201

EP - 204

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

IS - 2

ER -