Comparing Endoscopic Sphincterotomy Followed by Surgery with Surgery Alone in Patients with Gallstones
Author Information
Author(s): R. KAPOOR, S. P. KAUSHIK, V. A. SARASWAT, G. CHOUDHURI, S. S. SIKORA, R. SAXENA, V. K. KAPOOR
Primary Institution: Sanjay Gandhi Post graduate Institute of Medical Sciences
Hypothesis
Is endoscopic sphincterotomy followed by surgery more effective than surgery alone in good risk patients with choledocholithiasis?
Conclusion
The study found no significant advantage of endoscopic sphincterotomy followed by surgery over surgery alone in good risk patients with choledocholithiasis.
Supporting Evidence
- 85% of patients in the ES+S group achieved common bile duct clearance.
- 87% of patients in the SA group achieved common bile duct clearance.
- Major complications occurred in 31% of the ES+S group and 19% of the SA group.
- The mean length of hospital stay was similar between the two groups.
- The overall cost of treatment was comparable between the two groups.
Takeaway
Doctors wanted to see if doing two procedures was better than just one for patients with gallstones, but they found out that doing just one surgery was just as good.
Methodology
A prospective randomized trial comparing two groups: one receiving endoscopic sphincterotomy followed by surgery and the other receiving surgery alone.
Limitations
The study excluded a significant number of patients based on predetermined criteria, which may limit the generalizability of the results.
Participant Demographics
Patients with choledocholithiasis, aged 20-75 years.
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