Comparison between endoscopic papillary balloon dilatation and endoscopic sphincterotomy for the treatment of common bile duct stones

Watanabe, Hidetaka; Yoneda, Masashi; Tominaga, Keiichi; Monma, Tsuneo; Kanke, Kazunari; Shimada, Tadahito; Terano, Akira; Hiraishi, Hideyuki

doi:10.1007/s00535-006-1969-9

Cited by 56 publications

(43 citation statements)

References 29 publications

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“…In addition, drainage-related complications were defined as any of the following ICD 10th codes: bleeding or hematoma (T810), iatrogenic perforation during endoscopic procedures (T812), perforation of bile duct (K832), and post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (K918). These complications were defined according to published criteria [18,19].…”

Section: Study Variablesmentioning

confidence: 99%

Impact of hospital volume on clinical outcomes of endoscopic biliary drainage for acute cholangitis based on the Japanese administrative database associated with the diagnosis procedure combination system

et al. 2010

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Section: Study Variablesmentioning

confidence: 99%

Impact of hospital volume on clinical outcomes of endoscopic biliary drainage for acute cholangitis based on the Japanese administrative database associated with the diagnosis procedure combination system

et al. 2010

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“…However, over a period of time, a number of limitations of EPBD were recognized, namely, a greater number of endoscopic sessions, more frequent use of mechanical lithotripsy and a higher incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis when compared to EST [7][8][9][10]. Recently, a metaanalysis which compared the outcome of EPBD with that of EST also showed that EPBD was associated with a higher rate of post-procedure pancreatitis, though the rate of bleeding was lower [11].…”

Section: Introductionmentioning

confidence: 99%

Sequential Endoscopic Papillary Balloon Dilatation Following Limited Sphincterotomy for Common Bile Duct Stones

et al. 2008

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Endoscopic papillary balloon dilatation (EPBD) has been recently used in conjunction with endoscopic sphincterotomy (EST) for the removal of common bile duct (CBD) stones. The present study was aimed at assessing the safety and outcome of sequential EPBD following EST for CBD stones. A total of 74 patients (43 females, mean age 41 years) with > or = 10-mm stone(s) in the CBD were selected for the procedure, which included limited EST followed by EPBD with balloon dilators of 10-18 mm in size. Eleven patients had undergone EST and unsuccessful stone removal earlier. Forty-nine patients had symptoms of CBD stones, while 25 were detected on imaging. Eleven patients had previous CBD stent in situ and four had T-tube in situ. The stone size was 10-12 mm in 34, 13-14 mm in 26, and > or = 15 mm in 14 patients. Thirty-one patients had a single stone, while 43 had > or = 2 stones. The successful removal of stones was achieved in 68 (91.9%) patients; 62 in the first attempt, five in the second, and one in the third. Six patients were deemed to be "failures." In two of them, the stones could be removed after mechanical lithotripsy. Complications were seen in 16 patients, with self-limiting pain in 13, self-limiting ooze in five, melaena in one, and mild pancreatitis in two. One patient had impaction of the dormia basket. We conclude that EPBD following EST is safe and effective in removing stones > or = 10 mm in size in over 90% of patients.

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“…The major drawbacks of sphincteroplasty compared with sphincterotomy include the limited size of the papillary opening and the high rate of postdilation pancreatitis. [64][65][66] Approximately 90% to 95% of BDSs can usually be accessed and removed after endoscopic sphincterotomy by using balloon-tipped catheters or baskets (Fig. 4A).…”

Section: Endoscopic Treatment Of Bdss: Which Methods To Use?mentioning

confidence: 99%

Detection and management of bile duct stones

Frossard¹,

Morel²

2010

Gastrointestinal Endoscopy

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Comparison between endoscopic papillary balloon dilatation and endoscopic sphincterotomy for the treatment of common bile duct stones

Abstract: Although EPBD appears to be comparable to EST for removal of small common bile duct stones, mild postoperative pancreatitis is more likely to occur with EPBD than with EST.

Cited by 56 publications

References 29 publications

Impact of hospital volume on clinical outcomes of endoscopic biliary drainage for acute cholangitis based on the Japanese administrative database associated with the diagnosis procedure combination system

Impact of hospital volume on clinical outcomes of endoscopic biliary drainage for acute cholangitis based on the Japanese administrative database associated with the diagnosis procedure combination system

Sequential Endoscopic Papillary Balloon Dilatation Following Limited Sphincterotomy for Common Bile Duct Stones

Detection and management of bile duct stones

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