Partially covered vs uncovered sphincterotome and post-endoscopic sphincterotomy bleeding.
Title | Partially covered vs uncovered sphincterotome and post-endoscopic sphincterotomy bleeding. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Katsinelos, P., Paroutoglou G., Kountouras J., Chatzimavroudis G., Zavos C., Terzoudis S., Katsinelos T., Fasoulas K., Gelas G., Tzovaras G., & Pilpilidis I. |
Journal | World J Gastroenterol |
Volume | 16 |
Issue | 40 |
Pagination | 5077-83 |
Date Published | 2010 Oct 28 |
ISSN | 2219-2840 |
Keywords | Aged, Aged, 80 and over, Cholangiopancreatography, Endoscopic Retrograde, Choledocholithiasis, Female, Humans, Incidence, Male, Middle Aged, Outcome Assessment (Health Care), Pancreatic Neoplasms, Postoperative Hemorrhage, Prospective Studies, Sphincterotomy, Endoscopic, Treatment Outcome |
Abstract | AIM: To prospectively compare partially covered vs uncovered sphincterotome use on post-endoscopic biliary sphincterotomy (ES) hemorrhage and other complications.METHODS: All patients referred for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) were randomly assigned to undergo ES either with a partially covered or an uncovered sphincterotome. Both patient and technical risk factors contributing to the development of post-ES bleeding were recorded and analyzed. The characteristics of bleeding was recorded during and after ES. Other complications were also compared.RESULTS: Three-hundred and eighty-seven patients were recruited in this study; 194 patients underwent ES with a partially covered sphincterotome and 193 with conventional uncovered sphincterotome. No statistical difference was noted in the baseline characteristics and risk factors for post-ES induced hemorrhage between the 2 groups. No significant difference in the incidence and pattern of visible bleeding rates was found between the 2 groups (immediate bleeding in 24 patients with the partially covered sphincterotome vs 19 patients with the uncovered sphincterotome, P = 0.418). Delayed bleeding was observed in 2 patients with a partially covered sphincterotome and in 1 patient with an uncovered sphincterotome (P = 0.62). No statistical difference was noted in the rate of other complications.CONCLUSION: The partially covered sphincterotome was not associated with a lower frequency of bleeding. Also, there was no difference in the incidence of other significant complications between the 2 types of sphincterotome. |
Alternate Journal | World J. Gastroenterol. |
PubMed ID | 20976845 |
PubMed Central ID | PMC2965285 |