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Advances in Risk Factors for Recurrence of Common Bile Duct Stones

Journal

INTERNATIONAL JOURNAL OF MEDICAL SCIENCES
Volume 18, Issue 4, Pages 1067-1074

Publisher

IVYSPRING INT PUBL
DOI: 10.7150/ijms.52974

Keywords

common bile duct stones; ERCP; recurrence; risk factors

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Choledocholithiasis is a common chronic disease with a high recurrence rate even after treatment with ERCP+EST. Research is currently focusing on the risk factors of recurrence, which are caused by multiple factors.
Choledocholithiasis is a chronic common disease. The incidence of cholelithiasis is 5%-15%, of which 5%-30% are combined with Choledocholithiasis. Although endoscopic cholangiopancreatography (ERCP) + endoscopic sphincterotomy (EST) is the most common treatment procedure, which clearance rate is up to 95%, the incidence of recurrent choledocholithiasis was 4%-25%. The risk factors of recurrence after choledocholithiasis clearance are the focuses of current researches, which are caused by multiple factors. We first systematically summarize the risk factors of common bile duct stones (CBDS) recurrence into five aspects: first-episode stone related factors, congenital factors, biological factors, behavioral intervention factors, and the numbers of stone recurrence.

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