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Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct

BACKGROUND/AIMS: There is no consensus for using endoscopic papillary large balloon dilation (EPLBD) in patients without dilatation of the lower part of the bile duct (DLBD). We evaluated the feasibility and safety of EPLBD for the removal of difficult bile duct stones (diameter ≥10 mm) in patients...

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Autores principales: Fujita, Yuji, Iwasaki, Akito, Sato, Takamitsu, Fujisawa, Toshio, Sekino, Yusuke, Hosono, Kunihiro, Matsuhashi, Nobuyuki, Sakamaki, Kentaro, Nakajima, Atsushi, Kubota, Kensuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Editorial Office of Gut and Liver 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5221873/
https://www.ncbi.nlm.nih.gov/pubmed/27538442
http://dx.doi.org/10.5009/gnl15634
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author Fujita, Yuji
Iwasaki, Akito
Sato, Takamitsu
Fujisawa, Toshio
Sekino, Yusuke
Hosono, Kunihiro
Matsuhashi, Nobuyuki
Sakamaki, Kentaro
Nakajima, Atsushi
Kubota, Kensuke
author_facet Fujita, Yuji
Iwasaki, Akito
Sato, Takamitsu
Fujisawa, Toshio
Sekino, Yusuke
Hosono, Kunihiro
Matsuhashi, Nobuyuki
Sakamaki, Kentaro
Nakajima, Atsushi
Kubota, Kensuke
author_sort Fujita, Yuji
collection PubMed
description BACKGROUND/AIMS: There is no consensus for using endoscopic papillary large balloon dilation (EPLBD) in patients without dilatation of the lower part of the bile duct (DLBD). We evaluated the feasibility and safety of EPLBD for the removal of difficult bile duct stones (diameter ≥10 mm) in patients without DLBD. METHODS: We retrospectively reviewed the records of 209 patients who underwent EPLBD for the removal of bile duct stones from October 2009 to July 2014. Primary outcomes were the clearance rate and additional mechanical lithotripsy. Secondary outcomes were the incidence of complications and recurrence rate. RESULTS: Fifty-seven patients had DLBD (27.3%), and 152 did not have DLBD (72.7%). There were no significant differences in the overall success rate or the use of mechanical lithotripsy. Success rate during the first session and procedure time were better in the DLBD than the without-DLBD group (75.7% vs 66.7%, 48.1±23.0 minutes vs 58.4±31.7 minutes, respectively). As for complications, there were no significant differences in the incidence of pancreatitis, perforation or bleeding after endoscopic retrograde cholangiopancreatography. The recurrence rate did not differ significantly between the two groups. CONCLUSIONS: EPLBD is a useful and safe method for common bile duct stone removal in patients without DLBD.
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spelling pubmed-52218732017-01-13 Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct Fujita, Yuji Iwasaki, Akito Sato, Takamitsu Fujisawa, Toshio Sekino, Yusuke Hosono, Kunihiro Matsuhashi, Nobuyuki Sakamaki, Kentaro Nakajima, Atsushi Kubota, Kensuke Gut Liver Original Article BACKGROUND/AIMS: There is no consensus for using endoscopic papillary large balloon dilation (EPLBD) in patients without dilatation of the lower part of the bile duct (DLBD). We evaluated the feasibility and safety of EPLBD for the removal of difficult bile duct stones (diameter ≥10 mm) in patients without DLBD. METHODS: We retrospectively reviewed the records of 209 patients who underwent EPLBD for the removal of bile duct stones from October 2009 to July 2014. Primary outcomes were the clearance rate and additional mechanical lithotripsy. Secondary outcomes were the incidence of complications and recurrence rate. RESULTS: Fifty-seven patients had DLBD (27.3%), and 152 did not have DLBD (72.7%). There were no significant differences in the overall success rate or the use of mechanical lithotripsy. Success rate during the first session and procedure time were better in the DLBD than the without-DLBD group (75.7% vs 66.7%, 48.1±23.0 minutes vs 58.4±31.7 minutes, respectively). As for complications, there were no significant differences in the incidence of pancreatitis, perforation or bleeding after endoscopic retrograde cholangiopancreatography. The recurrence rate did not differ significantly between the two groups. CONCLUSIONS: EPLBD is a useful and safe method for common bile duct stone removal in patients without DLBD. Editorial Office of Gut and Liver 2017-01 2016-08-19 /pmc/articles/PMC5221873/ /pubmed/27538442 http://dx.doi.org/10.5009/gnl15634 Text en Copyright © 2017 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://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
Fujita, Yuji
Iwasaki, Akito
Sato, Takamitsu
Fujisawa, Toshio
Sekino, Yusuke
Hosono, Kunihiro
Matsuhashi, Nobuyuki
Sakamaki, Kentaro
Nakajima, Atsushi
Kubota, Kensuke
Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title_full Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title_fullStr Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title_full_unstemmed Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title_short Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile Duct
title_sort feasibility of endoscopic papillary large balloon dilation in patients with difficult bile duct stones without dilatation of the lower part of the extrahepatic bile duct
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5221873/
https://www.ncbi.nlm.nih.gov/pubmed/27538442
http://dx.doi.org/10.5009/gnl15634
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