Abstract
Objective To explore the causes and surgical management of acute gangrenous cholecystitis （AGC） after endoscopic sphincterotomy （EST）. Methods Clinical and pathological data of 1066 patients who underwent EST from June 2003 to January 2007 were analyzed retrospectively. Results AGC was complicated in 16 patients （ 16/1066, 1.5% ） , who underwent emergency operations and no death occurred. During the follow-up period of 4 to 36 months, no infection or obstruction was found. Conclusion Difficulty in EST manipulation and biliary obstrucion might play a leading role in AGC after EST, and early surgical intervention is effective. Key words: Cholecystitis, acute; Gangrenosum; Endoscopic sphincterotomy; Endoscopic retrograde cholangiopancreatography; Postoperative complications
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