PMID: 24353657Dec 20, 2013Paper

Small Endoscopic Sphincterotomy plus Large-Balloon Dilation for Removal of Large Common Bile Duct Stones during ERCP

Pakistan Journal of Medical Sciences
Qian Jun BoLu Hua Sheng

Abstract

This study compared the therapeutic benefits and complication rates of small endoscopic sphincterotomy plus large-balloon dilation (ESLBD) with those of endoscopic sphincterotomy (EST) alone for large bile duct stones. We compared prospectively ESLBD group (n=63) with conventional EST group (n=69) for the treatment of large bile duct stones (≥15mm). Mechanical lithotripsy was performed when the stone could not be removed using a normal basket. We compared the rates of stone removal, frequency of mechanical lithotripsy use, procedure-related complications, and recurrent stones. A total of 132 patients were reviewed in the study. The mean age of the patients was 67.9 years. The two groups showed significant differences in complete stone removal during the first session (80.9 vs. 60.8%; P = 0.046), the use of mechanical lithotripsy (7.94 vs. 24.6%; P = 0.041), and less duration of admission (P =0.045). After ERCP, there were some instances of oozing in both groups, All patients recovered completely, 14 patients had recurrent common bile duct stones among the follow-up duration. The ESLBD technique seems to be a feasible and safe alternative technique for conventional EST and EBD and has no more Post-ERCP complications.

Citations

Aug 2, 2015·Gastrointestinal Endoscopy·Tae Hyeon KimTodd H Baron
Feb 8, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiUNKNOWN Japan Gastroenterological Endoscopy Society
Aug 9, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yunxiao LyuLiang Chen
Feb 25, 2021·World Journal of Gastrointestinal Endoscopy·Giuseppe GrandeRita Conigliaro
Oct 20, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Antonio FacciorussoJacques Devière

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