Efficacy and safety of double-balloon endoscopy-assisted endoscopic papillary large-balloon dilatation for common bile duct stone removal

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Shuhei OanaTakayuki Matsumoto

Abstract

Endoscopic retrograde cholangiopancreatography is difficult to perform in patients with gastrointestinal tract reconstruction. To evaluate the efficacy and safety of double-balloon endoscopy-assisted endoscopic papillary large-balloon dilatation for common bile duct stones in patients with gastrointestinal tract reconstruction. We conducted a retrospective case series with a comparison to historical controls. During the period 2009-2013, 11 postoperative patients underwent endoscopic papillary large-balloon dilatation (Group A). Procedure efficacy and safety were compared with patients who underwent endoscopic sphincterotomy without endoscopic papillary large-balloon dilatation, who served as historical controls (Group B). Group A consisted of 11 patients (63.6% males, mean age 78±10 years), and Group B consisted of 32 patients (78.1% males, mean age 75±7 years). The stone clearance rate was significantly higher in Group A than in Group B (100% vs. 65.6%, respectively; p<0.05). Median procedure time was significantly shorter in Group A than in Group B (54min vs. 102min, respectively; p<0.05), and the complication rate was not significantly different between groups (18% vs. 15.6%, respectively; p=0.586). Endoscopic papillary lar...Continue Reading

References

Jul 2, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiAtsushi Sofuni
Oct 16, 2010·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Takao ItoiFuminori Moriyasu
Dec 7, 2013·Journal of Hepato-biliary-pancreatic Sciences·Masaaki ShimataniKazuichi Okazaki
Jan 1, 2014·World Journal of Gastroenterology : WJG·Jin Hong KimByung Moo Yoo

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Citations

Nov 22, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Pietro FusaroliGiancarlo Caletti
Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Feb 21, 2019·Acta Cirúrgica Brasileira·Francisco Heine Ferreira MachadoManoel Odorico de Moraes Filho

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