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A wait-and-see policy should not be used routinely after endoscopic sphincterotomy for bile-duct stones instead of proceeding to a planned laparoscopic cholecystectomy, said Dr. Djemila Boerma of the Academic Medical Center, Amsterdam, and colleagues.
Of 59 patients randomized to a wait-and-see group, 27 had at least one biliary event during a median follow-up of 30 months. In the cholecystectomy group, significantly fewer ...