109 274

Cited 33 times in

Endoscopic large-balloon dilation alone versus endoscopic sphincterotomy plus large-balloon dilation for the treatment of large bile duct stones.

Authors
Hwang, JC; Kim, JH; Lim, SG; Kim, SS; Shin, SJ; Lee, KM; Yoo, BM
Citation
BMC gastroenterology, 13:15-15, 2013
Journal Title
BMC gastroenterology
ISSN
1471-230X
Abstract
BACKGROUND: Endoscopic sphincterotomy (EST) combined with large-balloon dilation (LBD) has been proposed as an alternative to manage large bile duct stones. However, recent reports indicate that LBD without EST may be safe and effective in this setting.



METHODS: One hundred thirty-one patients with large common bile duct (CBD) stones 12 mm in size or larger underwent LBD alone (n=62) or EST plus LBD (n=69) for lithotripsy. The therapeutic outcome and complications were reviewed and compared.



RESULTS: There were no differences between the two groups with regard to age, size and number of stones, or bile duct diameter. The LBD alone group (mean age, 70.4 years) and the EST plus LBD group (mean age, 68.2 years) had similar outcomes in terms of overall successful stone removal (96.8% vs. 95.7%, P=0.738) and complete stone removal without the need for mechanical lithotripsy (80.6% vs. 73.9%, P=0.360). Complications in the LBD alone and EST plus LBD groups were as follows: pancreatitis (6.5% vs. 4.3%, P=0.593), impaction of basket and stone (0% vs. 1.4%, P=0.341), and perforation (0% vs. 1.4%, P=0.341).



CONCLUSIONS: LBD alone may be a simple, safe, and effective alternative to EST plus LBD in relatively aged patients with large CBD stones, and it can simplify the procedure compared with EST plus LBD.
MeSH terms
AgedAged, 80 and overCholangiopancreatography, Endoscopic RetrogradeCombined Modality TherapyDilatation/*methodsEndoscopy, Digestive System/*methodsFemaleGallstones/*therapyGastric BalloonHumansMaleMiddle AgedProspective StudiesSphincterotomy, Endoscopic/*methodsTreatment Outcome
DOI
10.1186/1471-230X-13-15
PMID
23324454
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
AJOU Authors
황, 재철김, 진홍임, 선교김, 순선신, 성재이, 기명유, 병무
Full Text Link
Files in This Item:
23324454.pdfDownload
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