risk factors for recurrence of symptomatic common bile duct stones after cholecystectomy复发的危险因素有症状的胆囊切除术后胆总管结石.pdfVIP

Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2012, Article ID 417821, 6 pages doi:10.1155/2012/417821 Clinical Study Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy Ju Hyun Oak, Chang Nyol Paik, Woo Chul Chung, Kang-Moon Lee, and Jin Mo Yang Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Ji-dong, Paldal-gu, Gyeonggi-do, Suwon 442-723, Republic of Korea Correspondence should be addressed to Chang Nyol Paik, cmcu@catholic.ac.kr Received 11 January 2012; Accepted 5 August 2012 Academic Editor: Mohamad A. Eloubeidi Copyright © 2012 Ju Hyun Oak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. The recurrence of CBD stone is still observed in a considerable number of patients. The study was to evaluate the risk factors for recurrence of symptomatic CBD stone in patients who underwent cholecystectomy after the removal of CBD stone. Methods. The medical records of patients who underwent removal of CBD stone with subsequent cholecystectomy were reviewed. The risk factors for the recurrence of symptomatic CBD stone were compared between the recurrence and the nonrecurrence group. Results. The mean follow-up period was 40.6 months. The recurrence of symptomatic CBD stones was defined as the detec- tion of bile duct stones no sooner than 6 months after complete clearance of CBD stones, based on symptoms or signs of biliary complication. 144 patients (68 males, 47.2%) were finally enrolled and their mean age was 59.8 (range: 26∼86) years. The recur- rence of CBD stone occu