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©2010 Baishideng Publishing Group Co.
World J Gastroenterol. Oct 28, 2010; 16(40): 5077-5083
Published online Oct 28, 2010. doi: 10.3748/wjg.v16.i40.5077
Published online Oct 28, 2010. doi: 10.3748/wjg.v16.i40.5077
Table 1 Risk factors for hemorrhage after endoscopic sphincterotomy[11]
Table 2 Baseline characteristics of patients
Partially covered sphincterotome (n = 194) | Uncovered sphincterotome (n = 193) | P | |
Sex (M/F) | 85/109 | 89/104 | 0.640 |
Age (mean ± SD) (yr) | 69.93 ± 13.85 | 70.71 ± 13.75 | 0.590 |
Indications for ES | 0.304 | ||
Choledocholithiasis | 143 | 136 | 0.382 |
Pancreatic malignancy | 20 | 26 | 0.356 |
Biliary malignancy | 11 | 8 | 0.473 |
Papillary cancer | 7 | 6 | 0.771 |
SOD | 8 | 5 | 0.392 |
Bile leak | 2 | 3 | 0.657 |
Metastatic lymphadenopathy | 1 | 4 | 0.187 |
Others | 2 | 5 | 0.255 |
Associated comorbid disease | 0.561 | ||
Coronary artery disease | 11 | 7 | 0.329 |
Hypertension | 31 | 42 | 0.160 |
Diabetes | 22 | 24 | 0.768 |
Heart failure | 21 | 24 | 0.647 |
COPD | 9 | 10 | 0.823 |
Renal failure | 4 | 6 | 0.527 |
Renal failure in hemodialysis | 2 | - | 0.155 |
Others | 53 | 61 | 0.390 |
Table 3 Risk factors for post-endoscopic sphincterotomy bleeding between the two groups
Partially covered sphincterotome (n = 194) | Uncovered sphincterotome (n = 193) | P | |
Definite | |||
Anticoagulation < 3 d after ES | 3 | 5 | 0.365 |
Bleeding during ES | 24 | 19 | 0.408 |
Cholangitis prior to ERCP | 26 | 21 | 0.425 |
"Zipper cut" phenomenon | 4 | 3 | 0.497 |
Maybe | |||
Papillary cancer | 7 | 6 | 0.771 |
Cirrhosis | 5 | 3 | 0.359 |
Dilated CBD | 72 | 74 | 0.865 |
CBD stone | 143 | 136 | 0.382 |
Periampullary diverticulum | 38 | 44 | 0.472 |
Precut (suprapapillary) sphincterotomy with extension | 10 | 6 | 0.302 |
Table 4 Patterns of post-endoscopic sphincterotomy bleeding
Partially covered sphincterotome (n = 26) | Uncovered sphincterotome (n = 20) | P | |
Immediate | 24 | 19 | 0.418 |
Trickle | 14 | 12 | 0.748 |
Ooze | 9 | 7 | 0.965 |
Pulsatile | 1 | - | 0.558 |
Delayed | 2 | 1 | 0.620 |
Table 5 Risk factors for post-endoscopic sphincterotomy hemorrhage of patients presenting with immediate bleeding
Partially covered sphincterotome (n = 24) | Uncovered sphincterotome (n = 19) | P | |
Definite | |||
Anticoagulation < 3 d after ES | 2 | 3 | 0.373 |
Cholangitis prior to ERCP | 7 | 5 | 0.883 |
"Zipper cut" phenomenon | 1 | 1 | 1.000 |
Maybe | |||
Cirrhosis | 1 | - | 0.565 |
Dilated CBD | 12 | 14 | 0.106 |
CBD stone | 21 | 16 | 0.590 |
Periampullary diverticulum | 6 | 7 | 0.373 |
Precut (suprapapillary) sphincterotomy with extension | - | 1 | 0.435 |
Table 6 Complications
Partially covered sphincterotome(n = 194) | Uncoveredsphincterotome(n = 193) | P | |
Pancreatitis | 13 | 10 | 0.23 |
Mild | 10 | 8 | |
Moderate | 2 | 1 | |
Severe | 1 | 1 | |
Perforation | 1 | - | 0.50 |
Cholangitis | 1 | 3 | 0.31 |
Bleeding | 26 | 20 | 0.36 |
Mild | 26 | 20 | |
Moderate | - | - | |
Severe | - | - | |
Basket impaction | 1 | - | 0.50 |
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Citation: Katsinelos P, Paroutoglou G, Kountouras J, Chatzimavroudis G, Zavos C, Terzoudis S, Katsinelos T, Fasoulas K, Gelas G, Tzovaras G, Pilpilidis I. Partially covered
vs uncovered sphincterotome and post-endoscopic sphincterotomy bleeding. World J Gastroenterol 2010; 16(40): 5077-5083 - URL: https://www.wjgnet.com/1007-9327/full/v16/i40/5077.htm
- DOI: https://dx.doi.org/10.3748/wjg.v16.i40.5077