Combined endoscopic sphincterotomy and large balloon sphincteroplasty for bile duct stones / 대한내과학회지
Korean Journal of Medicine
;
: 474-480, 2007.
Artigo
em Coreano
| WPRIM
| ID: wpr-107838
ABSTRACT
BACKGROUND:
The combined use of small endoscopic sphincterotomy (EST) followed by endoscopic papillary large balloon dilation (EPLBD) might be associated with a lower incidence of procedure-related complications such as pancreatitis, bleeding or perforation, compared to the use of EPLBD or a large EST alone. The aim of this retrospective study was to evaluate the utility of a combined EST and EPLBD method for the removal of common bile duct (CBD) stones that could not be extracted by use of an EST and conventional techniques.METHODS:
Between March 2005 and September 2006, a total of 35 patients with CBD stones were enrolled. Fourteen patients had received a previous EST, and 21 patients underwent an EST. The sphincterotomy site was then dilated with a 12~18 mm diameter balloon.RESULTS:
The average number of stones was 3.6+/-2.9 (range 110). The average maximum stone diameter was 26.11+/-8.88 mm (range 12~50 mm). Complete stone removal was accomplished in 31 patients (88.6%). In 9 patients (25.7%), a mechanical lithotripsy was required. No episode of true pancreatitis occurred. A procedure-related perforation occurred in one patient (2.8%) and the patient was treated with NPO and antibiotics. No procedure-related bleeding or mortality was observed. The procedure was performed safely in 9 patients (25.7%) with a periampullary diverticulum and in 14 patients (40.0%) with a previous EST.CONCLUSIONS:
Combined EST and EPLBD may be a safe and effective method, and may be a good alternative treatment for removing CBD stones that cannot be extracted by an EST and conventional techniques. However, prospective studies based on a large number of patients are needed.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pancreatite
/
Bile
/
Ductos Biliares
/
Litotripsia
/
Incidência
/
Estudos Retrospectivos
/
Mortalidade
/
Esfinterotomia Endoscópica
/
Divertículo
/
Ducto Colédoco
Tipo de estudo:
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2007
Tipo de documento:
Artigo
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