Endoscopic papillary balloon dilation for bile duct stones in patients on hemodialysis.

Journal of Gastroenterology
Naminatsu TakaharaKazuhiko Koike

Abstract

Endoscopic papillary balloon dilation (EPBD) is a less hazardous alternative to endoscopic sphincterotomy for managing bile duct stones in patients with a coagulopathy. However, little information on EPBD is available for patients with bile duct stones who are undergoing hemodialysis (HD). We aimed to evaluate the safety and efficacy of EPBD for such patients. This was a retrospective cohort study with prospectively collected data for 37consecutive patients with bile duct stones who were undergoing HD and who also underwent EPBD between December 1995 and April 2010 at four institutions in Tokyo, Japan. The main outcome was the safety and efficacy of EPBD for managing bile duct stones in patients undergoing HD. The bile duct stones were completely removed in one session in 24 patients (64.8%). Overall success was achieved using EPBD alone in all patients. Complications occurred in five patients (13.5%), including two with hemorrhage (5.4%). No hemorrhage developed in any of the 33 patients who had no additional bleeding risk except for HD. Pancreatitis and perforation developed in two (5.4%) and one (2.7%) patient, respectively. EPBD seems to be a safe and effective treatment to extract bile duct stones in patients undergoing HD...Continue Reading

References

May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Aug 19, 1989·Lancet·D VairaP Cotton
Sep 1, 1989·American Journal of Surgery·R E Hermann
Dec 1, 1994·Journal of Clinical Gastroenterology·D B Nelson, M L Freeman
Feb 1, 1996·Gastrointestinal Endoscopy·F PratJ P Etienne
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
Mar 10, 2001·The American Journal of Gastroenterology·E MasciP A Testoni
Nov 3, 2004·Gastroenterology·James A DisarioStephen C Alder
Jan 19, 2005·The American Journal of Gastroenterology·Takeshi TsujinoMasao Omata
Jun 15, 2006·Pathophysiology of Haemostasis and Thrombosis·Miso SabovicJadranka Buturovic Ponikvar
Jan 20, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Takeshi TsujinoMasao Omata
Sep 29, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jean EthierEric W Young
Apr 5, 2008·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Barbara SalobirJadranka Buturovic Ponikvar
Oct 29, 2009·JAMA : the Journal of the American Medical Association·Dinanda J de JagerFriedo W Dekker
May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jayasree PillarisettiKamal Gupta

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Citations

May 9, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ichiro Yasuda, Takao Itoi
Jul 23, 2013·Journal of Gastroenterology and Hepatology·Yasuki HoriTakashi Joh
Aug 1, 2015·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Dai AkiyamaKazuhiko Koike
Jun 27, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ryunosuke HakutaKazuhiko Koike
Feb 6, 2018·Clinical Journal of Gastroenterology·Ryo SugiuraNaoya Sakamoto
Dec 27, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ryunosuke HakutaKazuhiko Koike
Feb 15, 2019·Journal of Gastroenterology and Hepatology·Yuki KawajiKazuhiko Koike
Jun 24, 2018·Digestive Diseases and Sciences·Itaru Naitoh, Yasuki Hori
Jan 3, 2020·Journal of Clinical Gastroenterology·Ryunosuke HakutaKazuhiko Koike

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