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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...
Autores principales: | , , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Association of Internal Medicine
2010
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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 |
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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 |
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