+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn

+ Translate
+ Recently Requested

Role of endoscopic papillary balloon dilation in patients with recurrent bile duct stones after endoscopic sphincterotomy



Role of endoscopic papillary balloon dilation in patients with recurrent bile duct stones after endoscopic sphincterotomy



Journal of the Chinese Medical Association 78(1): 56-61



Endoscopic sphincterotomy (ES) is an established treatment for patients with choledocholithiasis or common bile duct stones (CBDS), but further management of patients after ES with recurrent CBDS remains controversial. Endoscopic papillary large balloon dilation (EPLBD) has been used safely and effectively for stone removal in patients after ES with recurrent CBDS. The aim of this study was to evaluate the clinical efficacy of EPLBD in patients after complete ES with recurrent CBDS. Records of 891 patients with CBDS after complete ES from January 1991 to December 2008 were reviewed. Of 133 patients with recurrent CBDS, 122 had complete endoscopic bile duct clearance. Twenty-three patients (Group 1) underwent EPLBD and 99 (Group 2) underwent stone extraction without dilatation. Basic demographics and endoscopic findings at the first recurrence were recorded and analyzed. The primary end point was the second CBDS recurrence. No statistical differences were observed between the two groups, except for larger CBDS size in Group 1. The bile duct clearance rate was 96% in Group 1 and 91% in Group 2. No complications such as pancreatitis, perforation, and bleeding were noted in Group 1, and one patient in Group 2 suffered from bleeding after stone extraction. The rate of second recurrent CBDS after endoscopic clearance for the first recurrent CBDS was 17% in Group 1 and 60% in Group 2 (p < 0.001). There were two independent factors for the second recurrence, including cirrhosis (odds ratio 4.734, p = 0.023) and stone extraction directly without major papilla expansion (odds ratio 6.050, p = 0.003). EPLBD is a safe and effective endoscopic treatment for recurrent CBDS in patients after ES. It can also facilitate complete clearance of CBDS and prevent further CBDS recurrence.

(PDF emailed within 0-6 h: $19.90)

Accession: 055604079

Download citation: RISBibTeXText

PMID: 25241239

DOI: 10.1016/j.jcma.2014.08.004


Related references

Endoscopic papillary large balloon dilation for the management of recurrent difficult bile duct stones after previous endoscopic sphincterotomy. Digestive Endoscopy 26(2): 259-263, 2014

Endoscopic papillary large balloon dilation for the treatment of recurrent bile duct stones in patients with prior sphincterotomy. Journal of Gastroenterology 45(12): 1283-1288, 2011

A comparison of endoscopic papillary balloon dilation and endoscopic sphincterotomy for the removal of common bile duct stones. Zhonghua Nei Ke Za Zhi 50(2): 116-119, 2011

Long-term outcomes of endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones. Digestive Endoscopy 25(3): 313-321, 2014

Endoscopic papillary balloon dilation versus endoscopic sphincterotomy for bile duct stones: is it time to put a knife down?. Digestive Endoscopy 25(3): 253-254, 2014

Endoscopic papillary large balloon dilation and endoscopic papillary balloon dilation both without sphincterotomy for removal of large bile duct stones: A propensity-matched analysis. Digestive Endoscopy 31(1): 59-68, 2018

Long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones. Gastrointestinal Endoscopy 72(6): 1185-1191, 2011

Significance of Endoscopic Sphincterotomy Preceding Endoscopic Papillary Large Balloon Dilation in the Management of Bile Duct Stones. Digestive Diseases and Sciences 61(2): 597-602, 2016

Usefulness of endoscopic papillary balloon dilation for removal of common bile duct stones as compared to endoscopic sphincterotomy. Journal of the Chinese Medical Association 78(1): 48-50, 2016

Endoscopic papillary large-balloon dilation combined with endoscopic biliary sphincterotomy for the removal of bile duct stones (with video). Gastrointestinal Endoscopy 74(5): 1119-26; Quiz 1115.E1-5, 2012

Long-term follow-up of endoscopic papillary balloon dilation compared to endoscopic sphincterotomy for the extraction of bile duct stones. 2007

Endoscopic papillary large balloon dilation vs endoscopic sphincterotomy for retrieval of common bile duct stones: a meta-analysis. World Journal of Gastroenterology 20(18): 5548-5556, 2015

Small endoscopic sphincterotomy combined with endoscopic papillary large-balloon dilation in the treatment of patients with large bile duct stones. European Surgery 49(1): 9-16, 2017

Endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones: long-term outcomes in a prospective randomized controlled trial. Gastrointestinal Endoscopy 59(6): 614-618, 2004

Comparison of the Long-Term Outcomes of Endoscopic Papillary Large Balloon Dilation Alone versus Endoscopic Sphincterotomy for Removal of Bile Duct Stones. Gastroenterology Research and Practice 2018: 6430701-6430701, 2018