What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?

Gastroenterology Research and Practice
Eduardo Tavio-HernandezAgustin Albillos-Martínez

Abstract

Endoscopic papillary large balloon dilatation (EPLBD) is an alternative for the treatment of common bile duct (CBD) stones. Existing evidence of factors associated with its outcomes is contradictory. To identify predictors (including the experience of an endoscopist) of success and adverse events in EPLBD. We reviewed the first 200 EPLBD with endoscopic sphincterotomy (EST) performed at our center. Demographic, clinical, and anatomic variables were studied, as well as the performance characteristics, correlating them with individual and group experience. Global success was obtained in 87% of cases, and adverse events occurred in 16% of cases. Success was associated with stone size, CBD diameter, and the need to perform mechanical lithotripsy (ML). Despite that adverse events were not univariately associated with any factor, severe adverse events were more likely to occur in stones > 13.5 mm. Multivariate analysis which disclosed success was higher when ML was not required and stones were < 13.5 mm. It also showed that no factor was associated with adverse events or their severity. No differences were found on success or adverse events that could be directly related to experience. Success of EPLBD-EST is higher in stones < 13.5 ...Continue Reading

References

May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Oct 21, 1961·JAMA : the Journal of the American Medical Association·R D DRIPPSJ E ECKENHOFF
Nov 3, 2004·Gastroenterology·James A DisarioStephen C Alder
Jul 2, 2005·Gastrointestinal Endoscopy·Douglas G AdlerUNKNOWN Standards of Practice Committee of American Society for Gastrointestinal Endoscopy
Sep 15, 2009·World Journal of Gastroenterology : WJG·Hyun Gun KimMoon Sung Lee
Mar 8, 2011·Gastrointestinal Endoscopy·Peter B CottonBret Petersen
Sep 29, 2011·Gastrointestinal Endoscopy·John T MapleJason A Dominitz
Nov 2, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Ji Won LeeJu Hyun Kim
Nov 14, 2013·World Journal of Gastroenterology : WJG·Kook Hyun Kim, Tae Nyeun Kim
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 11, 2014·Endoscopy·Vivian E EkkelenkampErnst J Kuipers
Jun 26, 2015·World Journal of Gastroenterology : WJG·Shigefumi OmutaMieko Naruki
Aug 2, 2015·Gastrointestinal Endoscopy·Tae Hyeon KimTodd H Baron

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Methods Mentioned

BETA
X-ray
sedation

Software Mentioned

EPLBD
EST
JMP
SAS

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