Document Detail


Partially covered vs uncovered sphincterotome and post-endoscopic sphincterotomy bleeding.
MedLine Citation:
PMID:  20976845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To prospectively compare partially covered vs uncovered sphincterotome use on post-endoscopic biliary sphincterotomy (ES) hemorrhage and other complications.
METHODS: All patients referred for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) were randomly assigned to undergo ES either with a partially covered or an uncovered sphincterotome. Both patient and technical risk factors contributing to the development of post-ES bleeding were recorded and analyzed. The characteristics of bleeding was recorded during and after ES. Other complications were also compared.
RESULTS: Three-hundred and eighty-seven patients were recruited in this study; 194 patients underwent ES with a partially covered sphincterotome and 193 with conventional uncovered sphincterotome. No statistical difference was noted in the baseline characteristics and risk factors for post-ES induced hemorrhage between the 2 groups. No significant difference in the incidence and pattern of visible bleeding rates was found between the 2 groups (immediate bleeding in 24 patients with the partially covered sphincterotome vs 19 patients with the uncovered sphincterotome, P = 0.418). Delayed bleeding was observed in 2 patients with a partially covered sphincterotome and in 1 patient with an uncovered sphincterotome (P = 0.62). No statistical difference was noted in the rate of other complications.
CONCLUSION: The partially covered sphincterotome was not associated with a lower frequency of bleeding. Also, there was no difference in the incidence of other significant complications between the 2 types of sphincterotome.
Authors:
Panagiotis Katsinelos; George Paroutoglou; Jannis Kountouras; Grigoris Chatzimavroudis; Christos Zavos; Sotiris Terzoudis; Taxiarchis Katsinelos; Kostas Fasoulas; George Gelas; George Tzovaras; Ioannis Pilpilidis
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-26     Completed Date:  2011-02-10     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5077-83     Citation Subset:  IM    
Affiliation:
Department of Endoscopy and Motility Unit, Medical School, Aristotle University of Thessaloniki, G. Gennimatas General Hospital, 54635 Thessaloniki, Greece. gchatzim@med.auth.gr
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Choledocholithiasis / surgery
Female
Humans
Incidence
Male
Middle Aged
Outcome Assessment (Health Care)
Pancreatic Neoplasms / surgery
Postoperative Hemorrhage / epidemiology,  etiology*
Prospective Studies
Sphincterotomy, Endoscopic / adverse effects*,  methods*
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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