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Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones

OBJECTIVE: Endoscopic papillary large-balloon dilation (EPLBD) for common bile duct (CBD) stone removal has been confirmed to be safe and effective in the short term. The long-term outcomes of EPLBD, which have not been sufficiently evaluated, were therefore investigated in this study. METHODS: For...

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Autores principales: Murabayashi, Toji, Kanno, Yoshihide, Koshita, Shinsuke, Ogawa, Takahisa, Kusunose, Hiroaki, Sakai, Toshitaka, Masu, Kaori, Yonamine, Keisuke, Miyamoto, Kazuaki, Kozakai, Fumisato, Endo, Kazuki, Noda, Yutaka, Ito, Kei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184081/
https://www.ncbi.nlm.nih.gov/pubmed/31787702
http://dx.doi.org/10.2169/internalmedicine.3881-19
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author Murabayashi, Toji
Kanno, Yoshihide
Koshita, Shinsuke
Ogawa, Takahisa
Kusunose, Hiroaki
Sakai, Toshitaka
Masu, Kaori
Yonamine, Keisuke
Miyamoto, Kazuaki
Kozakai, Fumisato
Endo, Kazuki
Noda, Yutaka
Ito, Kei
author_facet Murabayashi, Toji
Kanno, Yoshihide
Koshita, Shinsuke
Ogawa, Takahisa
Kusunose, Hiroaki
Sakai, Toshitaka
Masu, Kaori
Yonamine, Keisuke
Miyamoto, Kazuaki
Kozakai, Fumisato
Endo, Kazuki
Noda, Yutaka
Ito, Kei
author_sort Murabayashi, Toji
collection PubMed
description OBJECTIVE: Endoscopic papillary large-balloon dilation (EPLBD) for common bile duct (CBD) stone removal has been confirmed to be safe and effective in the short term. The long-term outcomes of EPLBD, which have not been sufficiently evaluated, were therefore investigated in this study. METHODS: For patients who had undergone endoscopic CBD stone removal with EPLBD between October 2011 and December 2015, follow-up surveys were conducted using a postal survey, telephone interview, or medical record review in August 2017. The main outcome measurement was the recurrence rate of CBD stones after complete stone removal with EPLBD in patients who received follow-up for more than one year. Risk factors for such recurrence were secondarily analyzed. RESULTS: Of the 98 patients treated using EPLBD, 93 (95%) were followed up after complete stone removal and analyzed for the long-term outcomes. During the mean follow-up period of 33.7±16.6 months, CBD stones recurred in 16 patients (17%) with a mean interval of 12.7±12.7 months. Univariate analyses showed that a large stone size, multiple stones, a large distal CBD diameter, and a history of cholecystectomy were significant risk factors for stone recurrence (p=0.022, 0.013, 0.001 and 0.035, respectively). The large distal CBD diameter was the only significant risk factor for stone recurrence in a multivariate analysis (hazard ratio, 1.227; p=0.031). CONCLUSION: The long-term outcomes of EPLBD for CBD stones, including the rate of stone recurrence, were found to be acceptable. A large distal CBD diameter was an independent risk factor for stone recurrence.
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spelling pubmed-71840812020-04-29 Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones Murabayashi, Toji Kanno, Yoshihide Koshita, Shinsuke Ogawa, Takahisa Kusunose, Hiroaki Sakai, Toshitaka Masu, Kaori Yonamine, Keisuke Miyamoto, Kazuaki Kozakai, Fumisato Endo, Kazuki Noda, Yutaka Ito, Kei Intern Med Original Article OBJECTIVE: Endoscopic papillary large-balloon dilation (EPLBD) for common bile duct (CBD) stone removal has been confirmed to be safe and effective in the short term. The long-term outcomes of EPLBD, which have not been sufficiently evaluated, were therefore investigated in this study. METHODS: For patients who had undergone endoscopic CBD stone removal with EPLBD between October 2011 and December 2015, follow-up surveys were conducted using a postal survey, telephone interview, or medical record review in August 2017. The main outcome measurement was the recurrence rate of CBD stones after complete stone removal with EPLBD in patients who received follow-up for more than one year. Risk factors for such recurrence were secondarily analyzed. RESULTS: Of the 98 patients treated using EPLBD, 93 (95%) were followed up after complete stone removal and analyzed for the long-term outcomes. During the mean follow-up period of 33.7±16.6 months, CBD stones recurred in 16 patients (17%) with a mean interval of 12.7±12.7 months. Univariate analyses showed that a large stone size, multiple stones, a large distal CBD diameter, and a history of cholecystectomy were significant risk factors for stone recurrence (p=0.022, 0.013, 0.001 and 0.035, respectively). The large distal CBD diameter was the only significant risk factor for stone recurrence in a multivariate analysis (hazard ratio, 1.227; p=0.031). CONCLUSION: The long-term outcomes of EPLBD for CBD stones, including the rate of stone recurrence, were found to be acceptable. A large distal CBD diameter was an independent risk factor for stone recurrence. The Japanese Society of Internal Medicine 2019-11-29 2020-04-01 /pmc/articles/PMC7184081/ /pubmed/31787702 http://dx.doi.org/10.2169/internalmedicine.3881-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Murabayashi, Toji
Kanno, Yoshihide
Koshita, Shinsuke
Ogawa, Takahisa
Kusunose, Hiroaki
Sakai, Toshitaka
Masu, Kaori
Yonamine, Keisuke
Miyamoto, Kazuaki
Kozakai, Fumisato
Endo, Kazuki
Noda, Yutaka
Ito, Kei
Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title_full Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title_fullStr Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title_full_unstemmed Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title_short Long-term Outcomes of Endoscopic Papillary Large-balloon Dilation for Common Bile Duct Stones
title_sort long-term outcomes of endoscopic papillary large-balloon dilation for common bile duct stones
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184081/
https://www.ncbi.nlm.nih.gov/pubmed/31787702
http://dx.doi.org/10.2169/internalmedicine.3881-19
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