0 9

Cited 0 times in

Comparison of endoscopic papillary large balloon dilation with or without endoscopic sphincterotomy for the treatment of large bile duct stones

Authors
Park, JS; Jeong, S; Lee, DK; Jang, SI; Lee, TH; Park, SH; Hwang, JC; Kim, JH; Yoo, BM; Park, SG; Lee, DH
Citation
Endoscopy, 51(2). : 125-132, 2019
Journal Title
Endoscopy
ISSN
0013-726X1438-8812
Abstract
BACKGROUND: Endoscopic papillary large balloon dilation (EPLBD) without prior endoscopic sphincterotomy (EST) produces excellent outcomes for the treatment of large common bile duct (CBD) stones. However, it remains unclear how the outcomes of EPLBD alone compare with those of EPLBD with EST. In this study, we assessed the safety and therapeutic outcomes of EPLBD with vs. without EST for the removal of large bile duct stones.
METHODS: This prospective, multicenter study was conducted on 200 patients with bile duct stones of >/= 10 mm in diameter. Patients were randomly assigned to an EPLBD alone group (n = 100) or an EPLBD with EST group (n = 100). These two groups were compared with respect to overall procedure-related adverse events, overall stone removal success rate, number of endoscopic sessions required for complete stone removal, need for mechanical lithotripsy, and total procedure time.
RESULTS: The incidence of adverse events was not significantly different between the groups (EPLBD alone vs. EPLBD with EST: overall adverse events 6 % vs. 4 %, P = 0.75: pancreatitis 1 % vs. 3 %, P = 0.62). Overall success (P = 0.35), initial success (P = 0.28), and the need for mechanical lithotripsy (P = 0.39) were also similar between groups. Median total procedure time tended to be greater in the EPLBD alone group (20.5 minutes) than in the EPLBD with EST group (18 minutes: P = 0.08).
CONCLUSION: The therapeutic outcomes and adverse events of EPLBD alone for the removal of large bile duct stones were comparable to those of EPLBD with EST.
MeSH terms
AgedAged, 80 and overCholangiopancreatography, Endoscopic Retrograde / methods*Dilatation / methods*FemaleGallstones / surgery*HumansLithotripsyMaleMiddle AgedProspective StudiesRepublic of KoreaSphincterotomy, Endoscopic / methods*
DOI
10.1055/a-0639-5147
PMID
29969808
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
AJOU Authors
황, 재철김, 진홍유, 병무
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse