BACKGROUND: Endoscopic sphincterotomy (EST) with stone extraction is the standard management for @entity2877 . However, the necessity for subsequent management of @entity5990 to prevent the @entity253 remained controversial and few data were evaluated for the impact of status of gallbladder on recurrent @entity253 . We retrospectively investigated the relationship between the status of gallbladder and the occurrence of @entity253 after endoscopic removal of @entity2877 . METHODS: Between January 1998 and December 2008, we enrolled 453 @entity1 with intact gallbladder who underwent EST for @entity2877 and allocated into two groups: @entity1085 (n  =  256) and @entity7140 (n  =  197). By reviewing @entity1 ' medical records, we compared the occurrence of @entity253 according to the presence or absence of @entity5990 in GB in situ. RESULTS: In total, @entity253 occurred in 83 @entity1 (18.3  %) during the follow-up period. Calculous GB group had higher rate of overall complications (22.7 vs. 12.7  %; p  =  0.007) and @entity455 (11.3 vs. 2.5  %; p  =  0.001) than acalculous GB group. On the multivariate analysis, only the presence of @entity5990 was shown to be significant risk factor for overall @entity253 (OR 2.029; 95  % CI 1.209-3.405; p  =  0.007) and @entity455 (OR 5.077; 95  % CI 1.917-13.446; p  =  0.001). Mean event-free period was shorter in calculous GB group than acalculous GB group for overall complications (1774 vs. 2159  days; p  =  0.012) and GB-associated complication (2153 vs. 2591  days; p  =  0.001). CONCLUSIONS: Prophylactic cholecystectomy may not be necessary to prevent @entity253 in @entity1 with @entity7140 after endoscopic removal of pigment stones from bile duct.

The Impact of Gallbladder Status on Biliary Complications After the Endoscopic Removal of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1085 :: ('MESH:D005705', 'Disease') :: ['calculous gallbladder'] @entity455 :: ('MESH:D014652', 'Disease') :: ['GB-associated complications'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['gallstone'] @entity7140 :: ('MESH:D042101', 'Disease') :: ['acalculous gallbladder'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary complication', 'biliary complications'] @entity2877 :: ('MESH:D042883', 'Disease') :: ['choledocholithiasis']
@entity2877 :: (MESH:D042883,Disease) :: ['Choledocholithiasis']
