{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:09:04Z","timestamp":1760954944408},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1984,4,1]],"date-time":"1984-04-01T00:00:00Z","timestamp":449625600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Recurrent pyogenic cholangitis is a condition prevalent in Asia. Surgery has been the only form of treatment when extrahepatic and\/or intrahepatic biliary dilatation, irregularity, debris and calculi are present. Endoscopic sphincterotomy was attempted in 134 such patients, the majority of whom had calculi confined to the common bile duct, and in whom 85.8 per cent were over 60 years old, 61.2 per cent had previous biliary surgery, and 36.6 per cent had an associated major medical illness. Sphincterotomy was successful in 88 per cent of patients, good results were obtained in 81.3 per cent, and stone removal was achieved in 91.7 per cent of those with demonstrable biliary calculi. Major complications occurred in 7.5 per cent, resulting in emergency surgery in 3 per cent and death in 1.5 per cent. The mortality of surgical sphincteroplasty in 143 patients with this condition who were over 60 years old was known to be 7 per cent. Five of 109 patients without residual calculi after endoscopic sphincterotomy developed mild to moderate symptoms after a follow-up period of 6 months to 6 years (median 2.3 years). Endoscopic sphincterotomy is a safe and effective form of treatment in patients with recurrent pyogenic cholangitis whose calculi are confined to the common bile duct.<\/jats:p>","DOI":"10.1002\/bjs.1800710404","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T00:33:55Z","timestamp":1172882035000},"page":"262-266","source":"Crossref","is-referenced-by-count":38,"title":["A study of endoscopic sphincterotomy in recurrent pyogenic cholangitis"],"prefix":"10.1093","volume":"71","author":[{"given":"S K","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Hong Kong, Queen Mary Hospital ,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1984,4,1]]},"reference":[{"key":"2024092716205457000_bib1","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1002\/bjs.18004217211","article-title":"Recurrent pyogenic cholangitis","volume":"42","author":"Cook","year":"1954","journal-title":"Br J Surg"},{"key":"2024092716205457000_bib2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1001\/archsurg.1962.01300200047004","article-title":"A study of recurrent pyogenic cholangitis","volume":"84","author":"Ong","year":"1962","journal-title":"Arch Surg"},{"key":"2024092716205457000_bib3","first-page":"769","volume-title":"Transactions V Biannual Congress of the Far East Association of Tropical Medicine","author":"De Langen","year":"1923"},{"key":"2024092716205457000_bib4","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1001\/archsurg.1964.01310200098021","article-title":"Treatment of intrahepatic gallstones","volume":"88","author":"Maki","year":"1964","journal-title":"Arch Surg"},{"key":"2024092716205457000_bib5","first-page":"41","article-title":"Partial resection of the liver in treatment of intrahepatic stones","volume":"79","author":"Huang","year":"1959","journal-title":"Chin Med J"},{"key":"2024092716205457000_bib6","first-page":"19","volume-title":"Biliary drainage procedures for cholangiohepatitis","author":"Nambiar","year":"1976"},{"key":"2024092716205457000_bib7","doi-asserted-by":"crossref","first-page":"71","DOI":"10.2214\/ajr.119.1.71","article-title":"Roentgenologic findings in recurrent pyogenic cholangitis","volume":"119","author":"Wastie","year":"1973","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"2024092716205457000_bib8","doi-asserted-by":"crossref","first-page":"368","DOI":"10.2214\/ajr.122.2.368","article-title":"Recurrent pyogenic cholangitis in Chinese immigrants","volume":"122","author":"Ho","year":"1974","journal-title":"Am J Roentgenol Radium Ther Med"},{"key":"2024092716205457000_bib9","first-page":"356","volume-title":"Operative Surgery","author":"Ong","year":"1969"},{"key":"2024092716205457000_bib10","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1017\/S0022172400069643","article-title":"The bacteriology of recurrent pyogenic cholangitis and associated diseases","volume":"87","author":"Wong","year":"1981","journal-title":"J Hyg, Camb"},{"key":"2024092716205457000_bib11","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/0016-5085(78)90692-3","article-title":"Recurrent pyogenic cholangitis: A study by endoscopic retrograde cholangiography","volume":"74","author":"Lam","year":"1978","journal-title":"Gastroenterology"},{"key":"2024092716205457000_bib12","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1001\/archsurg.1981.01380210047009","article-title":"Late result of sphincteroplasty in the treatment of primary cholangitis","volume":"116","author":"Choi","year":"1981","journal-title":"Arch Surg"},{"key":"2024092716205457000_bib13","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/00000658-198003000-00003","article-title":"The incidence and causes of death following surgery for non-malignant biliary tract disease","volume":"191","author":"McSherry","year":"1980","journal-title":"Ann Surg"},{"key":"2024092716205457000_bib14","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/bjs.1800660605","article-title":"Exploration of the common bile duct: a comparative study","volume":"66","author":"Vellacott","year":"1979","journal-title":"Br J Surg"},{"key":"2024092716205457000_bib15","first-page":"1311","article-title":"Operative risk in cholelithiasis. 5433 surgical interventions","volume":"57","author":"Chigot","year":"1981","journal-title":"Sem Hop Paris"},{"key":"2024092716205457000_bib16","first-page":"A888","article-title":"Choledocholithiasis - 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