Cargando…

The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones

BACKGROUND/AIMS: Endoscopic papillary balloon dilation (EPBD) is a safe and effective method for the treatment of choledocholithiasis, but previous studies have rarely reported the appropriate ballooning time (BT). We prospectively evaluated the safety and efficacy of EPBD according to BT in patient...

Descripción completa

Detalles Bibliográficos
Autores principales: Bang, Byoung Wook, Jeong, Seok, Lee, Don Haeng, Lee, Jung Il, Lee, Jin-Woo, Kwon, Kye Sook, Kim, Hyung Gil, Shin, Yong Woon, Kim, Young Soo
Formato: Texto
Lenguaje:English
Publicado: The Korean Association of Internal Medicine 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932935/
https://www.ncbi.nlm.nih.gov/pubmed/20830219
http://dx.doi.org/10.3904/kjim.2010.25.3.239
_version_ 1782186105208045568
author Bang, Byoung Wook
Jeong, Seok
Lee, Don Haeng
Lee, Jung Il
Lee, Jin-Woo
Kwon, Kye Sook
Kim, Hyung Gil
Shin, Yong Woon
Kim, Young Soo
author_facet Bang, Byoung Wook
Jeong, Seok
Lee, Don Haeng
Lee, Jung Il
Lee, Jin-Woo
Kwon, Kye Sook
Kim, Hyung Gil
Shin, Yong Woon
Kim, Young Soo
author_sort Bang, Byoung Wook
collection PubMed
description BACKGROUND/AIMS: Endoscopic papillary balloon dilation (EPBD) is a safe and effective method for the treatment of choledocholithiasis, but previous studies have rarely reported the appropriate ballooning time (BT). We prospectively evaluated the safety and efficacy of EPBD according to BT in patients undergoing bile duct stone removal. METHODS: Seventy consecutive patients with bile duct stones were randomly assigned to receive EPBD with either conventional (n = 35, 60 seconds) or short (n = 35, 20 seconds) BT. RESULTS: EPBD alone achieved complete bile duct clearance in 67 patients (long BT, n = 33, 94.3%; short BT, n = 34, 97.1%; p = 0.808). We also found no significant difference in the rate of complete duct clearance, including procedures that used mechanical lithotripsy, between the long and short BT groups (97.1% vs. 100%; p = 0.811). Mild pancreatitis was noted in four (11.4%) patients in the long BT group and two (5.7%) patients in the short BT group, but this incidence was not significantly different. CONCLUSIONS: The study showed that EPBD using both 20-sec and 60-sec BTs is safe and effective for the treatment of bile duct stones. Short and long BTs produced comparable outcomes.
format Text
id pubmed-2932935
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher The Korean Association of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-29329352010-09-09 The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones Bang, Byoung Wook Jeong, Seok Lee, Don Haeng Lee, Jung Il Lee, Jin-Woo Kwon, Kye Sook Kim, Hyung Gil Shin, Yong Woon Kim, Young Soo Korean J Intern Med Original Article BACKGROUND/AIMS: Endoscopic papillary balloon dilation (EPBD) is a safe and effective method for the treatment of choledocholithiasis, but previous studies have rarely reported the appropriate ballooning time (BT). We prospectively evaluated the safety and efficacy of EPBD according to BT in patients undergoing bile duct stone removal. METHODS: Seventy consecutive patients with bile duct stones were randomly assigned to receive EPBD with either conventional (n = 35, 60 seconds) or short (n = 35, 20 seconds) BT. RESULTS: EPBD alone achieved complete bile duct clearance in 67 patients (long BT, n = 33, 94.3%; short BT, n = 34, 97.1%; p = 0.808). We also found no significant difference in the rate of complete duct clearance, including procedures that used mechanical lithotripsy, between the long and short BT groups (97.1% vs. 100%; p = 0.811). Mild pancreatitis was noted in four (11.4%) patients in the long BT group and two (5.7%) patients in the short BT group, but this incidence was not significantly different. CONCLUSIONS: The study showed that EPBD using both 20-sec and 60-sec BTs is safe and effective for the treatment of bile duct stones. Short and long BTs produced comparable outcomes. The Korean Association of Internal Medicine 2010-09 2010-08-31 /pmc/articles/PMC2932935/ /pubmed/20830219 http://dx.doi.org/10.3904/kjim.2010.25.3.239 Text en Copyright © 2010 The Korean Association of Internal Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bang, Byoung Wook
Jeong, Seok
Lee, Don Haeng
Lee, Jung Il
Lee, Jin-Woo
Kwon, Kye Sook
Kim, Hyung Gil
Shin, Yong Woon
Kim, Young Soo
The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title_full The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title_fullStr The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title_full_unstemmed The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title_short The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones
title_sort ballooning time in endoscopic papillary balloon dilation for the treatment of bile duct stones
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932935/
https://www.ncbi.nlm.nih.gov/pubmed/20830219
http://dx.doi.org/10.3904/kjim.2010.25.3.239
work_keys_str_mv AT bangbyoungwook theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT jeongseok theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leedonhaeng theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leejungil theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leejinwoo theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kwonkyesook theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kimhyunggil theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT shinyongwoon theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kimyoungsoo theballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT bangbyoungwook ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT jeongseok ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leedonhaeng ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leejungil ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT leejinwoo ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kwonkyesook ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kimhyunggil ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT shinyongwoon ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones
AT kimyoungsoo ballooningtimeinendoscopicpapillaryballoondilationforthetreatmentofbileductstones