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Dilation Time in Endoscopic Papillary Balloon Dilation for Common Bile Duct Stones.
- Source :
-
Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2017 Oct; Vol. 27 (5), pp. 351-355. - Publication Year :
- 2017
-
Abstract
- Background: To assess the short-term outcomes after endoscopic sphincterotomy (EST) plus endoscopic papillary balloon dilation (EPBD) versus EPBD alone and appropriate balloon dilation time in EPBD alone.<br />Materials and Methods: A total of 413 patients with common bile duct stones (CBDSs) were included in the EST plus EPBD group and 84 were in the EPBD alone group. We retrospectively evaluated the safety and efficacy between EST plus EPBD and EPBD alone group. The patients in EPBD alone group were assigned to dilation time ≥5 minutes group (n=35) and time <5 minutes group (n=49). Further, we preliminarily discussed the influence of balloon dilation time on the procedure-related complications.<br />Results: Compared with EST plus EPBD, the patients in EPBD alone group were younger [56.6 (range: 18 to 95) vs. 65.1 (24 to 92) y; P=0.006], had smaller diameter of the largest stone [10.4 (range: 3 to 20) vs. 12.3 (5 to 30) mm; P<0.001] and were lesser frequently performed with jaundice [22 (26.2%) vs. 189 (45.8%); P=0.001]. The mean duration of postoperative hospital stay in EPBD alone group was significantly shorter than EST plus EPBD group [6.3 (range: 1 to 18) vs. 9.2 (1 to 44) d; P<0.001]. The patients in EPBD alone group had higher risk of post endoscopic retrograde cholangiopancreatography pancreatitis than EST plus EPBD group [11 (13.1%) vs. 22 (5.3%); P=0.009]. Patients in the dilation time <5 minutes group had higher risk to suffer from postoperative pancreatitis than the EST plus EPBD group [9 (18.4%) vs. 22 (5.3%); P=0.002], while patients in the dilation time ≥5 minutes group had less procedure-related hemorrhage than the EST plus EPBD group [0 vs. 36 (8.7%); P=0.047].<br />Conclusion: Long balloon dilation time in EPBD alone is safe and effective in treating CBDSs.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde adverse effects
Cholangiopancreatography, Endoscopic Retrograde methods
Dilatation adverse effects
Endoscopy, Digestive System adverse effects
Female
Hospitalization statistics & numerical data
Humans
Male
Middle Aged
Operative Time
Pancreatitis etiology
Postoperative Complications etiology
Postoperative Hemorrhage etiology
Retrospective Studies
Sphincterotomy, Endoscopic adverse effects
Sphincterotomy, Endoscopic methods
Time Factors
Young Adult
Dilatation methods
Endoscopy, Digestive System methods
Gallstones surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1534-4908
- Volume :
- 27
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Surgical laparoscopy, endoscopy & percutaneous techniques
- Publication Type :
- Academic Journal
- Accession number :
- 28737592
- Full Text :
- https://doi.org/10.1097/SLE.0000000000000431