Balloon catheter versus basket catheter for endoscopic bile duct stone extraction: a multicenter randomized trial

Ishiwatari, Hirotoshi; Kawakami, Hiroshi; Hisai, Hiroyuki; Yane, Kei; Onodera, Makoto; Eto, Kazunori; Haba, Shin; Okuda, Toshinori; Ihara, Hidetoshi; Kukitsu, Takehiro; Matsumoto, Ryusuke; Kitaoka, Keisuke; Sonoda, Tomoko; Hayashi, Tsuyoshi; Eus, Hokkaido Interventional

doi:10.1055/s-0035-1569573

Cited by 33 publications

(36 citation statements)

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“…Common bile duct stones are treated using a balloon catheter and a basket catheter under ERCP guidance. [18–20] However, when large or multiple stones are present in the common bile duct, stone removal may be challenging, even when using endoscopic papillary large balloon dilation. In such cases, EHL under POCS may be useful.…”

Section: Discussionmentioning

confidence: 99%

A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos)

et al. 2017

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Section: Discussionmentioning

confidence: 99%

A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos)

et al. 2017

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“…A multicenter prospective randomized trial demonstrated that the rate of complete stone clearance with a single catheter for CBD stones of ≤10 mm was higher in the balloon catheter group than in the basket catheter group. One study found that there was no significant difference in the rates of PEP and complete stone clearance in one ERCP session between the balloon catheter group and basket catheter group . Mechanical lithotripsy achieves successful stone clearance in 80–90% of patients with difficult CBD stones.…”

Section: Discussionmentioning

confidence: 99%

Post‐endoscopic retrograde cholangiopancreatography pancreatitis in single‐stage endoscopic common bile duct stone removal

et al. 2019

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Background and Aims Papillary treatment, such as endoscopic sphincterotomy or endoscopic papillary balloon dilation, and subsequent single‐stage endoscopic stone removal are often performed for choledocholithiasis; however, the incidence of postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is unclear. This study aimed to compare the overall incidence of PEP between single‐ and two‐stage stone removal groups and the incidence of PEP between these two groups based on cannulation time. Methods We included 897 patients with native papilla who underwent papillary treatment and stone removal for choledocholithiasis with no inflammation or mild‐to‐moderate acute cholangitis at three institutions between April 2012 and March 2018 in Japan. We performed a propensity‐matched analysis and regression adjustment by propensity score to adjust for potential confounding factors. Results In the propensity‐matched analysis with 234 pairs, there was no significant difference in the overall incidence of PEP between single‐ and two‐stage stone removal procedures (15/234, 6.4% vs 6/234, 2.6%, P = 0.072, respectively). Although single‐stage stone removal after a cannulation time of ≤15 min was not a significant risk factor of PEP, the procedure after a cannulation time of >15 min was a significant risk factor of PEP as estimated by regression adjustment by propensity score (P = 0.014, 95% CI = 1.4–19.4, odds ratio = 5.2). Conclusions Single‐stage endoscopic stone removal after a long cannulation time of >15 min increased the incidence of PEP compared with the two‐stage stone removal procedure. Thus, single‐stage stone removal should be performed in patients with a cannulation time ≤ 15 min.

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“…We appreciate the comments made by Dr. Kadayifci regarding our study in which we concluded that complete endoscopic treatment with a single catheter is more likely when choosing a balloon catheter over a basket catheter for the extraction of bile duct stones ≤ 10 mm [1]. In the basket group, the basket catheter was switched to a balloon catheter when the endoscopist had judged the duct clearance to be complete by the basket catheter.…”

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Ishiwatari¹,

Kawakami²,

Hisai³

et al. 2016

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Balloon catheter versus basket catheter for endoscopic bile duct stone extraction: a multicenter randomized trial

Abstract: For extraction of BDSs ≤ 10 mm, complete endoscopic treatment with a single catheter is more likely when choosing a balloon catheter over a basket catheter.University Hospital Medical Information Network Trials Registry: UMIN000011887.

Cited by 33 publications

References 13 publications

A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos)

A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos)

Post‐endoscopic retrograde cholangiopancreatography pancreatitis in single‐stage endoscopic common bile duct stone removal

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