J Huazhong Univ Sci Technol [Med Sci] 34(4):612-615,2014 DOI 10.1007/s11596-014-1325-x J Huazhong Univ Sci Technol［Med Sci］ 34(4):2014
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Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones in Liver Cirrhotic Patients De-min LI (李德民)1, Jie ZHAO (赵 洁)2, Qiu ZHAO (赵 秋)1#, Hua QIN (覃 华)1, Bo WANG (王 波)1, Rong-xiang LI (李荣香)1, Min ZHANG (张 敏)1, Ji-fen HU (胡继芬)1, Min YANG (杨 敏)1 1 Department of Gastroenterology, 2Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China © Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg 2014
Summary: In order to investigate the safety and efficacy of endoscopic retrograde cholangiopancreatograpy (ERCP) in liver cirrhosis patients with common bile duct stones, we retrospectively analyzed data of 46 common bile duct stones patients with liver cirrhosis who underwent ERCP between 2000 and 2008. There were 12 cases of Child-Pugh A, 26 cases of Child-Pugh B, and 8 cases of Child-Pugh C. 100 common bile duct stones patients without liver cirrhosis were randomly selected. All the patients were subjected to ERCP for biliary stones extraction. The rates of bile duct clearance and complications were compared between cirrhotic and non-cirrhotic patients. The success rate of selective biliary cannulation was 95.6% in liver cirrhotic patients versus 97% in non-cirrhotic patients (P>0.05). The bile duct clearance rate was 87% in cirrhotic patients versus 96% in non-cirrhotic patients, but the difference was not statistically significant. Two liver cirrhotic patients (4.35%, 2/46) who were scored Child-Pugh C had hematemesis and melena 24 h after ERCP. The hemorrhage rate after ERCP in non-cirrhotic patients was 3%. The hemorrhage rate associated with ERCP in Child-Pugh C patients was significantly higher (25%, 2/8) than that (3%, 3/100) in non-cirrhotic patients (P
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Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones in Liver Cirrhotic Patients De-min LI (李德民)1, Jie ZHAO (赵 洁)2, Qiu ZHAO (赵 秋)1#, Hua QIN (覃 华)1, Bo WANG (王 波)1, Rong-xiang LI (李荣香)1, Min ZHANG (张 敏)1, Ji-fen HU (胡继芬)1, Min YANG (杨 敏)1 1 Department of Gastroenterology, 2Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China © Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg 2014
Summary: In order to investigate the safety and efficacy of endoscopic retrograde cholangiopancreatograpy (ERCP) in liver cirrhosis patients with common bile duct stones, we retrospectively analyzed data of 46 common bile duct stones patients with liver cirrhosis who underwent ERCP between 2000 and 2008. There were 12 cases of Child-Pugh A, 26 cases of Child-Pugh B, and 8 cases of Child-Pugh C. 100 common bile duct stones patients without liver cirrhosis were randomly selected. All the patients were subjected to ERCP for biliary stones extraction. The rates of bile duct clearance and complications were compared between cirrhotic and non-cirrhotic patients. The success rate of selective biliary cannulation was 95.6% in liver cirrhotic patients versus 97% in non-cirrhotic patients (P>0.05). The bile duct clearance rate was 87% in cirrhotic patients versus 96% in non-cirrhotic patients, but the difference was not statistically significant. Two liver cirrhotic patients (4.35%, 2/46) who were scored Child-Pugh C had hematemesis and melena 24 h after ERCP. The hemorrhage rate after ERCP in non-cirrhotic patients was 3%. The hemorrhage rate associated with ERCP in Child-Pugh C patients was significantly higher (25%, 2/8) than that (3%, 3/100) in non-cirrhotic patients (P
