Post-sphincterotomy bleeding after the introduction of microprocessor- controlled electrosurgery: Does the new technology make the difference?

Rafael F. Perini, Rafal Sadurski, Peter B. Cotton, Rig S. Patel, Robert H. Hawes, John T Cunningham

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Bleeding as a complication of endoscopic sphincterotomy is influenced by several factors. The objective of this study was to compare rates of bleeding after sphincterotomy performed with two different electrosurgical current generators (Valleylab SSE2L and ERBE ICC200). A total of 6179 consecutive reports of ERCP were analyzed to compare the frequency of endoscopically and clinically evident bleeding after sphincterotomy when using the Valleylab SSE2L generator (from February 1994 to November 1997) and the ERBE ICC200 generator (from December 1997 to September 2000). Relevant risk factors were assessed by univariate analysis and significant predictors were included in a multiple logistic regression model. A total of 2711 sphincterotomies were performed in 2309 patients (1749 biliary, 962 pancreatic). Endoscopically observed bleeding occurred in 68 patients (5.5%) in the ValleyLab group and 13 (1.2%) in the ERBE group. The ValleyLab generator was independently associated with an increase in endoscopically observed bleeding (OR 4.02: 95% CI[2.13, 7.61], p < 0.001). There was no significant difference in clinically evident bleeding between the two groups. Use of the microprocessor-controlled ERBE electrosurgical generator for endoscopic sphincterotomy was associated with a significantly lower frequency of endoscopically observed bleeding but not clinically evident bleeding.

Original languageEnglish (US)
Pages (from-to)53-57
Number of pages5
JournalGastrointestinal Endoscopy
Volume61
Issue number1
DOIs
StatePublished - Jan 2005
Externally publishedYes

Fingerprint

Electrosurgery
Microcomputers
Hemorrhage
Technology
Endoscopic Sphincterotomy
Logistic Models
Endoscopic Retrograde Cholangiopancreatography

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Post-sphincterotomy bleeding after the introduction of microprocessor- controlled electrosurgery : Does the new technology make the difference? / Perini, Rafael F.; Sadurski, Rafal; Cotton, Peter B.; Patel, Rig S.; Hawes, Robert H.; Cunningham, John T.

In: Gastrointestinal Endoscopy, Vol. 61, No. 1, 01.2005, p. 53-57.

Research output: Contribution to journalArticle

Perini, Rafael F. ; Sadurski, Rafal ; Cotton, Peter B. ; Patel, Rig S. ; Hawes, Robert H. ; Cunningham, John T. / Post-sphincterotomy bleeding after the introduction of microprocessor- controlled electrosurgery : Does the new technology make the difference?. In: Gastrointestinal Endoscopy. 2005 ; Vol. 61, No. 1. pp. 53-57.
@article{4ebd73653d014e899ffc1555ed7937f8,
title = "Post-sphincterotomy bleeding after the introduction of microprocessor- controlled electrosurgery: Does the new technology make the difference?",
abstract = "Bleeding as a complication of endoscopic sphincterotomy is influenced by several factors. The objective of this study was to compare rates of bleeding after sphincterotomy performed with two different electrosurgical current generators (Valleylab SSE2L and ERBE ICC200). A total of 6179 consecutive reports of ERCP were analyzed to compare the frequency of endoscopically and clinically evident bleeding after sphincterotomy when using the Valleylab SSE2L generator (from February 1994 to November 1997) and the ERBE ICC200 generator (from December 1997 to September 2000). Relevant risk factors were assessed by univariate analysis and significant predictors were included in a multiple logistic regression model. A total of 2711 sphincterotomies were performed in 2309 patients (1749 biliary, 962 pancreatic). Endoscopically observed bleeding occurred in 68 patients (5.5{\%}) in the ValleyLab group and 13 (1.2{\%}) in the ERBE group. The ValleyLab generator was independently associated with an increase in endoscopically observed bleeding (OR 4.02: 95{\%} CI[2.13, 7.61], p < 0.001). There was no significant difference in clinically evident bleeding between the two groups. Use of the microprocessor-controlled ERBE electrosurgical generator for endoscopic sphincterotomy was associated with a significantly lower frequency of endoscopically observed bleeding but not clinically evident bleeding.",
author = "Perini, {Rafael F.} and Rafal Sadurski and Cotton, {Peter B.} and Patel, {Rig S.} and Hawes, {Robert H.} and Cunningham, {John T}",
year = "2005",
month = "1",
doi = "10.1016/S0016-5107(04)02454-X",
language = "English (US)",
volume = "61",
pages = "53--57",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Post-sphincterotomy bleeding after the introduction of microprocessor- controlled electrosurgery

T2 - Does the new technology make the difference?

AU - Perini, Rafael F.

AU - Sadurski, Rafal

AU - Cotton, Peter B.

AU - Patel, Rig S.

AU - Hawes, Robert H.

AU - Cunningham, John T

PY - 2005/1

Y1 - 2005/1

N2 - Bleeding as a complication of endoscopic sphincterotomy is influenced by several factors. The objective of this study was to compare rates of bleeding after sphincterotomy performed with two different electrosurgical current generators (Valleylab SSE2L and ERBE ICC200). A total of 6179 consecutive reports of ERCP were analyzed to compare the frequency of endoscopically and clinically evident bleeding after sphincterotomy when using the Valleylab SSE2L generator (from February 1994 to November 1997) and the ERBE ICC200 generator (from December 1997 to September 2000). Relevant risk factors were assessed by univariate analysis and significant predictors were included in a multiple logistic regression model. A total of 2711 sphincterotomies were performed in 2309 patients (1749 biliary, 962 pancreatic). Endoscopically observed bleeding occurred in 68 patients (5.5%) in the ValleyLab group and 13 (1.2%) in the ERBE group. The ValleyLab generator was independently associated with an increase in endoscopically observed bleeding (OR 4.02: 95% CI[2.13, 7.61], p < 0.001). There was no significant difference in clinically evident bleeding between the two groups. Use of the microprocessor-controlled ERBE electrosurgical generator for endoscopic sphincterotomy was associated with a significantly lower frequency of endoscopically observed bleeding but not clinically evident bleeding.

AB - Bleeding as a complication of endoscopic sphincterotomy is influenced by several factors. The objective of this study was to compare rates of bleeding after sphincterotomy performed with two different electrosurgical current generators (Valleylab SSE2L and ERBE ICC200). A total of 6179 consecutive reports of ERCP were analyzed to compare the frequency of endoscopically and clinically evident bleeding after sphincterotomy when using the Valleylab SSE2L generator (from February 1994 to November 1997) and the ERBE ICC200 generator (from December 1997 to September 2000). Relevant risk factors were assessed by univariate analysis and significant predictors were included in a multiple logistic regression model. A total of 2711 sphincterotomies were performed in 2309 patients (1749 biliary, 962 pancreatic). Endoscopically observed bleeding occurred in 68 patients (5.5%) in the ValleyLab group and 13 (1.2%) in the ERBE group. The ValleyLab generator was independently associated with an increase in endoscopically observed bleeding (OR 4.02: 95% CI[2.13, 7.61], p < 0.001). There was no significant difference in clinically evident bleeding between the two groups. Use of the microprocessor-controlled ERBE electrosurgical generator for endoscopic sphincterotomy was associated with a significantly lower frequency of endoscopically observed bleeding but not clinically evident bleeding.

UR - http://www.scopus.com/inward/record.url?scp=12844272459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=12844272459&partnerID=8YFLogxK

U2 - 10.1016/S0016-5107(04)02454-X

DO - 10.1016/S0016-5107(04)02454-X

M3 - Article

C2 - 15672056

AN - SCOPUS:12844272459

VL - 61

SP - 53

EP - 57

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 1

ER -