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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2019

01-06-2019

Risk factors for the recurrence of stones after endoscopic minimally invasive cholecystolithotomy in China: a meta-analysis

Authors: Wenchao Li, Pinzhu Huang, Purun Lei, Hui Luo, Zhicheng Yao, Zhiyong Xiong, Bo Liu, Kunpeng Hu

Published in: Surgical Endoscopy | Issue 6/2019

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Abstract

Background

The recurrence of stones after endoscopic minimally invasive cholecystolithotomy (EMIC) remains a hazardous problem in patients with cholelithasis. We sought to evaluate the risk factors for recurrence after cholecystolithotomy and to provide a theoretical basis for the indication for cholecystolithotomy.

Methods

We searched the Cochrane Library, PubMed, EMBASE, WanFang Data, CNKI and VIP Data to identify controlled trials related to cholelithasis that were published between 2007 and 2016. The odds ratios (ORs) were calculated with 95% confidence intervals (CIs). Stata12.0 was used to test the heterogeneity and publication bias.

Results

Eight studies involving 1663 participants were selected. No significant differences were observed in hazardous factors including advanced age, gender and diabetes mellitus compared with the control groups. However, family history of cholelithasis, multiple calculi, gallbladder wall thickening (GBWT) over 3 mm, a preference for greasy food, dysfunction of the gallbladder and not taking oral ursodeoxycholic acid post-EMIC yielded pooled ORs (95% CI) of 3.28 (2.30, 4.66), 4.24 (2.76, 6.50), 18.4 (7.23, 46.83), 1.90 (1.20, 3.01), 26.16 (10.15, 62.34) and 2.90 (1.36, 6.15), respectively.

Conclusions

A family history of cholelithasis, multiple calculi, a GBWT ≥ 3 mm, a preference for greasy food, dysfunction of the gallbladder and not taking oral ursodeoxycholic acid post-EMIC are hazardous factors for stones and sludge after cholecystolithotomy.
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Literature
1.
Marschall HU, Einarsson C (2007) Gallstone disease. J Intern Med 261(6):529–542CrossRef
2.
3.
Watson RG, Love AH (1987) Intragastric bile acid concentrations are unrelated to symptoms of flatulent dyspepsia in patients with and without gallbladder disease and postcholecystectomy. Gut 28(2):131–136CrossRefPubMedPubMedCentral
4.
Fein M et al (2002) Gastric bilirubin monitoring to assess duodenogastric reflux. Dig Dis Sci 47(12):2769–2774CrossRefPubMed
5.
Jaunoo SS, Mohandas S, Almond LM (2010) Postcholecystectomy syndrome (PCS). Int J Surg 8(1):15–17CrossRefPubMed
6.
Thurley PD, Dhingsa R (2008) Laparoscopic cholecystectomy: postoperative imaging. AJR Am J Roentgenol 191(3):794–801CrossRefPubMed
7.
Morvay K et al (1991) Effects of fecal bile acids on experimental colon carcinogenesis. Zentralbl Chir 116(23):1359–1367PubMed
8.
Dowling RH (1988) Medical treatment of gallbladder stones: good news and bad news. In: Paumgartner G, Stiehl A, Gerok W (eds) Trends in bile acid research. Kluwer Academic, Dordrecht, pp 283–305
9.
Kellett MJ, Wickham JE, Russell RC (1988) Percutaneous cholecystolithotomy. Br Med J (Clin Res Ed) 296(6620):453–455CrossRef
10.
BaoShan Z (2002) Endoscopic minimal invasive cholecystolithotomy in treatment of cholelithasis (Chinese Article). Chin J Endosc 07:7–10
11.
Ye L, Liu J et al (2015) Endoscopic minimal invasive cholecystolithotomy versus laparoscopic cholecystectomy in treatment of cholecystolithiasis in China: a meta-analysis. Int J Surg 13:227–238CrossRefPubMed
12.
13.
14.
Peters JL et al (2006) Comparison of two methods to detect publication bias in meta-analysis. JAMA 9(6):676–680 295)CrossRef
15.
Moher D et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62(10):1006–1012CrossRefPubMed
16.
Li QF, Xu X, Ge X (2015) Gallstone recurrence after minimally-invasive cholecystolithotomy with gallbladder reservation: a follow-up of 720 cases. Eur Rev Med Pharmacol Sci 19(8):1403–1406PubMed
17.
Jianping Z (2012) Analysis of the risk factors for stones recurrence after Endoscopiccholecystolithotomy (Chinese Article). Chin Foreign Med Res 27:134
18.
Chao C, Jiaming X, Yihui S, Chunwei G, Haorong W (2015) Analysis of the risk factors for recurrent gallbladder calculi in trauma surgery for calculi removal and gallbladder preservation (Chinese Article). Chin J Endosc Surg 06:426–429
19.
Jianbin G, Guoxin Z, Zhenfu L, Tieying S, Jingcheng Z, Yubin Z, Yunfeng G (2014) recurrence analysis for recurrent gallbladder calculi in endoscopic minimally invasive cholecystolithotomy (Chinese Article). Hebei Med 18:2777–2779
20.
Shuai L, Dong Z, Yuankai H, Weizhi W, Linghai C, Guanbo Z (2015) Analysis of gallstones recurrence factors after mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope combined with choledochoscope (Chinese Article). J Laparosc Surg 07:535–538
21.
Jian K, Bo Z, Shilong W, Qingcheng M (2011) Analysis of gallstone recurrent rate and risk factors after cholecystolithotomy with gallbladder preserved. China Med 6(3):322–324
22.
Liling S (2016) Analysis of gallstones recurrence factors after mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope (Chinese Article). Chin J Clin Ration Drug Use 26:110–111
23.
Wei S (2013) Analysis of gallstones recurrence factors after mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope combined with choledochoscope (Chinese Article). Chin J Integr Tradit West Med Dig 08:429–431
24.
25.
26.
Liu J, Li J, Zhao Q (2009) The analyses of the results of 612 cases with gallbladder stones who underwent fibrocholedocoscope cholecystectomy for removal of caculas and preservation of gallbladder (Chinese Article). Mag Chin Surg 47:279–281
27.
Kosters A, Jirsa M, Groen AK (2003) Genetic background of cholesterol gallstone disease. Biochim Biophys Acta 1637(1):1–19CrossRefPubMed
28.
Trifonova EV, Saifutdinov RG (2012) Factors affecting contractile function of the gallblader in patients with cholelithiasis. Eksp Klin Gastroenterol 4:16–20
29.
Xiachu W, Xiaofu L, Liang L (2009) Research progress on the cause of cholelithiasis (Chinese article). J Reg Anat Oper Surg 01:56–57
30.
Villanova N et al (1989) Gallstone recurrence after successful oral bile acid treatment. A 12-year follow-up study and evaluation of long-term postdissolution treatment. Gastroenterology 97(3):726–731CrossRefPubMed
31.
Dhiman RK, Chawla YK (2006) Is there a link between oestrogen therapy and gallbladder disease? Expert Opin Drug Saf 5(1):117–129CrossRefPubMed
Metadata
Title
Risk factors for the recurrence of stones after endoscopic minimally invasive cholecystolithotomy in China: a meta-analysis
Authors
Wenchao Li
Pinzhu Huang
Purun Lei
Hui Luo
Zhicheng Yao
Zhiyong Xiong
Bo Liu
Kunpeng Hu
Publication date
01-06-2019
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2019
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-018-6455-y

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