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The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.

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Title: The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.
Alternate Title: El valor de la papiloplastia duodenal endoscópica con clip de titanio en la mejora de las complicaciones postoperatorias de la coledocolitiasis.
Authors: Xuan Zhao1, Lihong Shi1, Jinchen Wang1, Siming Guo1, Sumin Zhu1 zsum1916@126.com
Source: Cirugía y Cirujanos. ene/feb2024, Vol. 92 Issue 1, p88-95. 8p.
Subjects: GALLSTONES, SURGICAL complications, ENDOSCOPIC surgery, LITHOTRIPSY, CHOLANGITIS
Abstract (English): Objective: To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications. Materials and methods: One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table. Patients in Group A were treated with endoscopic sphincterotomy (EST) combined with endoscopic papillary large balloon dilation (EPLBD), followed by a titanium clip for duodenal papilloplasty and then indwelling nasobiliary drainage, whereas those in Group B were treated with EST combined EPLBD to remove stones and then indwelling nasobiliary drainage. Results: In patients with choledocholithiasis or with anatomical changes that make stone extraction difficult, this prospective study attempted to perform duodenal papilloplasty with titanium clips after EST and EPLBD lithotripsy to compare and observe post-operative papillary healing, biliary reflux, and complication rates. Conclusions: The use of endoscopic duodenal papilloplasty with a titanium clip can improve biliary reflux after lithotripsy and reduce the incidence of post-operative cholangitis complications.Conclusión: El uso de papiloplastia duodenal endoscópica con clips de titanio puede mejorar el reflujo biliar después de la litotricia y reducir la incidencia de complicaciones de colangitis postoperatorias. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Investigar el valor de la esfinterotomía papilar duodenal endoscópica combinada con dilatación con balón en el tratamiento de la papiloplastia duodenal con clip de titanio después de coledocolitiasis en complicaciones postoperatorias. Materiales y métodos: Se incluyeron un total de 125 pacientes (69 hombres y 56 mujeres) con una mediana de edad de 65 (32-81) años. Los pacientes del Grupo A se trataron con esfinterotomía endoscópica (EST) combinada con dilatación papilar endoscópica con balón grande (EPLBD), seguida de clip de titanio para papiloplastia duodenal y luego drenaje nasobiliar permanente, mientras que los del Grupo B se trataron con EPLBD combinado con EST para eliminar cálculos y luego drenaje nasobiliar permanente. Resultados: En pacientes con coledocolitiasis o con cambios anatómicos que dificultan la extracción de cálculos, este estudio prospectivo intentó realizar papiloplastia duodenal con clips de titanio después de litotricia EST y EPLBD para comparar y observar la cicatrización papilar postoperatoria, el reflujo biliar y las tasas de complicaciones. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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PubType: Academic Journal
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  Data: The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.
– Name: TitleAlt
  Label: Alternate Title
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  Data: El valor de la papiloplastia duodenal endoscópica con clip de titanio en la mejora de las complicaciones postoperatorias de la coledocolitiasis.
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  Data: <searchLink fieldCode="AR" term="%22Xuan+Zhao%22">Xuan Zhao</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Lihong+Shi%22">Lihong Shi</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Jinchen+Wang%22">Jinchen Wang</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Siming+Guo%22">Siming Guo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Sumin+Zhu%22">Sumin Zhu</searchLink><relatesTo>1</relatesTo><i> zsum1916@126.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+y+Cirujanos%22">Cirugía y Cirujanos</searchLink>. ene/feb2024, Vol. 92 Issue 1, p88-95. 8p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22GALLSTONES%22">GALLSTONES</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22ENDOSCOPIC+surgery%22">ENDOSCOPIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22LITHOTRIPSY%22">LITHOTRIPSY</searchLink><br /><searchLink fieldCode="DE" term="%22CHOLANGITIS%22">CHOLANGITIS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications. Materials and methods: One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table. Patients in Group A were treated with endoscopic sphincterotomy (EST) combined with endoscopic papillary large balloon dilation (EPLBD), followed by a titanium clip for duodenal papilloplasty and then indwelling nasobiliary drainage, whereas those in Group B were treated with EST combined EPLBD to remove stones and then indwelling nasobiliary drainage. Results: In patients with choledocholithiasis or with anatomical changes that make stone extraction difficult, this prospective study attempted to perform duodenal papilloplasty with titanium clips after EST and EPLBD lithotripsy to compare and observe post-operative papillary healing, biliary reflux, and complication rates. Conclusions: The use of endoscopic duodenal papilloplasty with a titanium clip can improve biliary reflux after lithotripsy and reduce the incidence of post-operative cholangitis complications.Conclusión: El uso de papiloplastia duodenal endoscópica con clips de titanio puede mejorar el reflujo biliar después de la litotricia y reducir la incidencia de complicaciones de colangitis postoperatorias. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: Investigar el valor de la esfinterotomía papilar duodenal endoscópica combinada con dilatación con balón en el tratamiento de la papiloplastia duodenal con clip de titanio después de coledocolitiasis en complicaciones postoperatorias. Materiales y métodos: Se incluyeron un total de 125 pacientes (69 hombres y 56 mujeres) con una mediana de edad de 65 (32-81) años. Los pacientes del Grupo A se trataron con esfinterotomía endoscópica (EST) combinada con dilatación papilar endoscópica con balón grande (EPLBD), seguida de clip de titanio para papiloplastia duodenal y luego drenaje nasobiliar permanente, mientras que los del Grupo B se trataron con EPLBD combinado con EST para eliminar cálculos y luego drenaje nasobiliar permanente. Resultados: En pacientes con coledocolitiasis o con cambios anatómicos que dificultan la extracción de cálculos, este estudio prospectivo intentó realizar papiloplastia duodenal con clips de titanio después de litotricia EST y EPLBD para comparar y observar la cicatrización papilar postoperatoria, el reflujo biliar y las tasas de complicaciones. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.24875/CIRU.23000195
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 88
    Subjects:
      – SubjectFull: GALLSTONES
        Type: general
      – SubjectFull: SURGICAL complications
        Type: general
      – SubjectFull: ENDOSCOPIC surgery
        Type: general
      – SubjectFull: LITHOTRIPSY
        Type: general
      – SubjectFull: CHOLANGITIS
        Type: general
    Titles:
      – TitleFull: The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.
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            NameFull: Xuan Zhao
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            NameFull: Lihong Shi
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            NameFull: Jinchen Wang
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            NameFull: Siming Guo
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            NameFull: Sumin Zhu
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            – D: 01
              M: 01
              Text: ene/feb2024
              Type: published
              Y: 2024
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            – TitleFull: Cirugía y Cirujanos
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