Gysi B, Schmassmann A, Scheurer U, Halter F
Abteilung für Gastroenterologie, Inselspital Bern.
Schweiz Med Wochenschr. 1993 May 29;123(21):1115-7.
All 583 attempts at endoscopic clearance of biliary calculi, performed in the Gastrointestinal Unit, Inselspital Bern, were retrospectively analyzed from 1980 until 1991. The average age of the patients was 70; 56% were female and 44% male. In 1980, 26 ERCPs for bile duct stone removal were performed, whereas in 1991 the number had increased to 90. The substantial increase in 1991 occurred after introduction of laparoscopic cholecystectomy. Over the total period of 12 years all stones were removed endoscopically after papillotomy in 82%, while the success rate in 1991 was 90%. Morbidity was 5.4% and lethality 0.2%. Total morbidity did not change markedly. However, the number of severe complications requiring surgical repair was reduced from 1.7% between 1980 and 1986 to 0% between 1987 and 1991. These results suggest that endoscopic removal of bile duct stones is increasingly performed with high success and low complication rates.
对1980年至1991年期间在伯尔尼因塞尔医院胃肠科进行的583例内镜下胆管结石清除术尝试进行了回顾性分析。患者的平均年龄为70岁；56%为女性，44%为男性。1980年，进行了26例用于胆管结石清除的内镜逆行胰胆管造影（ERCP），而在1991年，这一数字增加到了90例。1991年的大幅增加发生在腹腔镜胆囊切除术引入之后。在整个12年期间，82%的结石在乳头切开术后通过内镜成功取出，而1991年的成功率为90%。发病率为5.4%，死亡率为0.2%。总发病率没有明显变化。然而，需要手术修复的严重并发症数量从1980年至1986年期间的1.7%降至1987年至1991年期间的0%。这些结果表明，内镜下胆管结石清除术的成功率越来越高，并发症发生率越来越低。
