Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy
- Abstract
- AIM: To compare small sphincterotomy combined with endoscopic papillary large balloon dilation (SES + ELBD) and endoscopic sphincterotomy (EST) for large bile duct stones. METHODS: We compared prospectively SES + ELBD (group A, n = 27) with conventional EST (group B, n = 28) for the treatment of large bile duct stones (> or = 15 mm). When the stone could not be removed with a normal basket, mechanical lithotripsy was performed. We compared the rates of complete stone removal with one session and application of mechanical lithotripsy. RESULTS: No significant differences were observed in the mean largest stone size (A: 20.8 mm, B: 21.3 mm), bile duct diameter (A: 21.4 mm, B: 20.5 mm), number of stones (A: 2.2, B: 2.3), or procedure time (A: 18 min, B: 19 min) between the two groups. The rates of complete stone removal with one session was 85% in group A and 86% in group B (P = 0.473). Mechanical lithotripsy was required for stone removal in nine of 27 patients (33%) in group A and nine of 28 patients (32%, P = 0.527) in group B. CONCLUSION: SES + ELBD did not show significant benefits compared to conventional EST, especially for the removal of large (> or = 15 mm) bile duct stones.
- All Author(s)
- H. G. Kim
; Y. K. Cheon
; Y. D. Cho
; J. H. Moon
; D. H. Park
; T. H. Lee
; H. J. Choi
; S. H. Park
; J. S. Lee
; M. S. Lee
- Issued Date
- 2009
- Type
- Article
- Keyword
- Sphincterotomy; Endoscopic; Balloon dilatation; Cholelithiasis; Lithotripsy
- Publisher
- Baishideng Publishing Group
- ISSN
- 1007-9327
; 2219-2840
- Citation Title
- World Journal of Gastroenterology
- Citation Volume
- 15
- Citation Number
- 34
- Citation Start Page
- 4298
- Citation End Page
- 4304
- Language(ISO)
- eng
- DOI
- 10.3748/wjg.15.4298
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1971
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