{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:35:27Z","timestamp":1768264527546,"version":"3.49.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1991,5,1]],"date-time":"1991-05-01T00:00:00Z","timestamp":673056000000},"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":[[1991,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>There is controversy concerning the subsequent clinical course of patients whose gallbladder is left in situ following successful endoscopic removal of stones from their common bile ducts. A total of 191 patients (median age 76 years) were reviewed between 12 and 100 months (mean 38 months) after endoscopic sphincterotomy. Ten patients (5\u00b72 per cent) had symptoms requiring cholecystectomy which was uneventful, nine in the first year. Cholangitis at presentation or failure to fill the gallbladder by endoscopic retrograde cholangiography were not helpful in identifying these patients. Forty-nine (25\u00b76 per cent) patients died during the review period from non-biliary pathology (usually cardiovascular). Elective cholecystectomy is not required in elderly patients with symptomatic bile duct stones if the common bile duct can be cleared of stones after endoscopic sphincterotomy.<\/jats:p>","DOI":"10.1002\/bjs.1800780512","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:57:54Z","timestamp":1172937474000},"page":"554-557","source":"Crossref","is-referenced-by-count":68,"title":["Risks of leaving the gallbladder in situ after endoscopic sphincterotomy for bile duct stones"],"prefix":"10.1093","volume":"78","author":[{"given":"J","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Surgery, Gastroenterology Unit, University Hospital of South Manchester , Nell Lane, West Didsbury, Manchester M20 8LR,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D F","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gastroenterology Unit, University Hospital of South Manchester , Nell Lane, West Didsbury, Manchester M20 8LR,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D E F","family":"Tweedle","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gastroenterology Unit, University Hospital of South Manchester , Nell Lane, West Didsbury, Manchester M20 8LR,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,5,1]]},"reference":[{"key":"2024092809410422200_bib1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1136\/gut.29.1.114","article-title":"Endoscopic sphincterotomy for common bile duct calculi in patients with gallbladders in situ considered unfit for surgery","volume":"29","author":"Davidson","year":"1988","journal-title":"Gut"},{"key":"2024092809410422200_bib2","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1136\/gut.30.8.1129","article-title":"Late results of endoscopic sphincterotomy for bile duct stones in elderly patients with gallbladders in situ","volume":"30","author":"Ingolby","year":"1989","journal-title":"Gut"},{"key":"2024092809410422200_bib3","first-page":"628","article-title":"Duodenoscopic sphincterotomy for removal of bile duct stones in patients with gallbladders","volume":"91","author":"Cotton","year":"1982","journal-title":"Surgery"},{"key":"2024092809410422200_bib4","first-page":"1255","article-title":"Duodenoscopic sphincterotomy in patients with gallbladders in situ: report of a series of 1272 patients","volume":"83","author":"Siegel","year":"1988","journal-title":"Am J Gastroenterol"},{"key":"2024092809410422200_bib5","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1002\/bjs.1800740320","article-title":"Endoscopic management of common duct stones without cholecystectomy","volume":"74","author":"Martin","year":"1987","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib6","first-page":"11","article-title":"The age factor in the mortality of patients undergoing surgery of the biliary tract","volume":"100","author":"Glenn","year":"1955","journal-title":"Surg Gynecol Obstet"},{"key":"2024092809410422200_bib7","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/S0016-5085(66)80078-1","article-title":"The natural course of gall stone disease","volume":"50","author":"Wenckert","year":"1966","journal-title":"Gaslrcenterology"},{"key":"2024092809410422200_bib8","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1136\/gut.24.9.845","article-title":"Factors affecting morbidity and mortality after surgery for obstructive jaundice: a review of 373 patients","volume":"24","author":"Dixon","year":"1983","journal-title":"Gut"},{"key":"2024092809410422200_bib9","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1002\/bjs.1800700910","article-title":"Prediction of risk in biliary surgery","volume":"70","author":"Blarney","year":"1983","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib10","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1002\/bjs.1800760831","article-title":"Endoscopic sphincterotomy for bile duct stones in patients with intact gallbladders","volume":"76","author":"Hansell","year":"1989","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib11","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1002\/bjs.1800750825","article-title":"Gallbladder non-filling: an indication for cholecystectomy after endoscopic sphincterotomy","volume":"75","author":"Worthley","year":"1988","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib12","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1136\/gut.25.6.598","article-title":"Early and late complications after endoscopic sphincterotomy for biliary lithiasis with and without their gallbladder in situ","volume":"25","author":"Escourrou","year":"1984","journal-title":"Gut"},{"key":"2024092809410422200_bib13","article-title":"Do patients need cholecystectomy after endoscopic sphincterotomy for bile duct stones?","author":"Vaira","year":"1989","journal-title":"Gut"},{"key":"2024092809410422200_bib14","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/0002-9610(87)90265-0","article-title":"The long-term fate of the gallbladder after endoscopic sphincterotomy: complete follow-up study of 122 patients","volume":"154","author":"Tanaka","year":"1987","journal-title":"Am J Surg"},{"key":"2024092809410422200_bib15","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1056\/NEJM198209233071305","article-title":"The natural history of silent gall stones: the innocent stone is not a myth","volume":"307","author":"Gracie","year":"1982","journal-title":"New Engl J Med"},{"key":"2024092809410422200_bib16","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/00000658-198507000-00009","article-title":"The natural history of diagnosed gall stone disease in symptomatic and asymptomatic patients","volume":"202","author":"McSherry","year":"1985","journal-title":"Ann Surg"},{"key":"2024092809410422200_bib17","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/BF01658496","article-title":"Primary endoscopic papillotomy in patients with stones in the common bile duct and gallbladder in situ: a 5\u20138 year follow-up study","volume":"12","author":"Rosseland","year":"1988","journal-title":"World J Surg"},{"key":"2024092809410422200_bib18","first-page":"A579","article-title":"Endoscopic management of common duct stones without cholecystectomy - a five-year follow-up","volume":"2","author":"Hill","year":"1990","journal-title":"Nepalo-biliary Surgery"},{"key":"2024092809410422200_bib19","first-page":"64","article-title":"Mortality following cholecystectomy","volume":"130","author":"Seitzer","year":"1970","journal-title":"Surg Gynecol Obstet"},{"key":"2024092809410422200_bib20","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1002\/bjs.1800691020","article-title":"The value of routine per-operative cholangiography - a report of 4000 cholecystectomies","volume":"69","author":"Doyle","year":"1982","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib21","first-page":"475","article-title":"Endoscopic papillotomy in patients with gallbladder in situ","volume":"150","author":"Solhaug","year":"1984","journal-title":"Ada Chir Scand"},{"key":"2024092809410422200_bib22","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1136\/bmj.300.6732.1111","article-title":"Gallbladder function after endoscopic sphincterotomy","volume":"300","author":"Desa","year":"1990","journal-title":"Br J Med"},{"key":"2024092809410422200_bib23","first-page":"487","article-title":"The timing of cholecystectomy in patients with gallstone pancreatitis","volume":"144","author":"Elfstrom","year":"1978","journal-title":"Acta Chir Scand"},{"key":"2024092809410422200_bib24","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1002\/bjs.1800681103","article-title":"Biliary surgery in the same admission for gall stone associated pancreatitis","volume":"68","author":"Osborne","year":"1981","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib25","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/bjs.1800770104","article-title":"Surgical management of acute pancreatitis","volume":"77","author":"Ponston","year":"1990","journal-title":"Br J Surg"},{"key":"2024092809410422200_bib26","first-page":"737","article-title":"The timing of biliary tract operations in patient with pancreatitis associated gall stones","volume":"141","author":"Paloyan","year":"1975","journal-title":"Surg Gynecol Obstet"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800780512","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/5\/554\/59394673\/bjs1800780512.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/5\/554\/59394673\/bjs1800780512.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:42:57Z","timestamp":1727516577000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/78\/5\/554\/6174831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,5,1]]},"references-count":26,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1991,5,1]]},"published-print":{"date-parts":[[1991,5,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800780512","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1991,5]]},"published":{"date-parts":[[1991,5,1]]}}}