Endoscopic papillary large balloon dilation for the treatment of recurrent bile duct stones in patients with prior sphincterotomy.

Journal of Gastroenterology
Kyeong Ok KimSi Hyung Lee

Abstract

Endoscopic sphincterotomy (EST) is a standard procedure for the removal of bile duct stones. However, additional EST may increase the risk of bleeding and perforation in patients with prior EST. Endoscopic papillary large balloon dilation (EPLBD) can be an alternative method for removing recurrent common bile duct stones with lower risk of bleeding and perforation. The aim of this study was to evaluate the therapeutic outcomes and complications of EPLBD in patients with recurrent common duct stones who underwent EST previously. Between January 2006 and August 2009, 70 patients with recurrent bile duct stones who had a history of EST were studied retrospectively. All patients underwent EPLBD without additional EST to enlarge the ampullary orifice. The size of the balloon for EPLBD was 12-18 mm and the duration of the balloon dilatation was 30-60 s. Of the 70 patients, there were 24 patients (34.3%) with periampullary diverticula, 18 patients (25.7%) with hypertension, 4 patients (5.7%) with ischemic heart diseases, 2 patients (2.9%) with liver cirrhosis, and 1 patient (1.4%) with chronic kidney disease. Mean diameter of the stones was 12.5 ± 5.5 mm. Complete clearance of the duct was achieved in all patients and mechanical litho...Continue Reading

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Citations

Nov 14, 2013·World Journal of Gastroenterology : WJG·Kook Hyun Kim, Tae Nyeun Kim
Jan 1, 2014·World Journal of Gastroenterology : WJG·Jin Hong KimByung Moo Yoo
Apr 8, 2014·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Kook Hyun Kim, Tae-Nyeun Kim
Apr 29, 2014·Digestive Diseases and Sciences·Ryosuke TonozukaFuminori Moriyasu
Sep 23, 2014·Journal of the Chinese Medical Association : JCMA·Tzung-Jiun TsaiPing-I Hsu
Aug 2, 2015·Gastrointestinal Endoscopy·Tae Hyeon KimTodd H Baron
Apr 16, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hyung Geun YoonSun-Joo Kim
Nov 5, 2014·Journal of Hepato-biliary-pancreatic Sciences·Anthony Yuen Bun Teoh, James Yun Wong Lau
Jul 6, 2014·Journal of Gastroenterology and Hepatology·Fumihide ItokawaAkihiko Tsuchida
Nov 5, 2016·Canadian Journal of Gastroenterology & Hepatology·Kook Hyun Kim, Tae Nyeun Kim
Feb 8, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiUNKNOWN Japan Gastroenterological Endoscopy Society
Dec 17, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shomei RyozawaKazuma Fujimoto
Apr 17, 2015·World Journal of Clinical Cases·Yuji SakaiOsamu Yokosuka
Dec 11, 2014·World Journal of Gastroenterology : WJG·Yuji SakaiOsamu Yokosuka
Feb 28, 2019·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Mohamed AlsenbesyMohammed Sobh
Sep 15, 2012·Clinical Endoscopy·Dong Ki Lee, Jung Woo Han

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