Efficacy analysis of endoscopic sphincterotomy plus endoscopic papillary balloon dilation for remove of common bile duct stons
- VernacularTitle:内镜下乳头小切开联合球囊扩张治疗胆总管结石临床疗效分析
- Author:
Fangbo YAN
1
;
Jiankang ZHANG
Author Information
1. 山西医科大学
- Keywords:
Bravery manager;
Duodenal papilla sphincterotomy;
Papillary balloon dilatation
- From:
China Modern Doctor
2014;(23):103-105,108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness and safety of endoscopic sphincterotomy(EST)plus endoscopic pap-illary balloon dilation (EPBD) for the removal of common bile duct stones. Methods One hundred patients who re-ceived endoscopic retrograde pancreatic angiography(ERCP)in the first hospital of shanxi medical university from June 2012 to March 2014 were randomly divided into EST group and ESBD group. ESBD group in advance nipples small in-cision after balloon expansion; EST group used normal operation. The successful rate of stone clear-ance,operation time,the rate of mechanical lithotripsy and related complications were observed.Results After one time,all stones were removed one time from 46 cases(92%) assigned EST and 48 cases(96%) assigned EPBD(P>0.05); Mechanical lithotripsy was used to fragment stones 8 cases(16%) in EST group and 2 cases(4%) in ESBD group(P<0.05); EST group had 4 cases of high amylase levels,2 cases of acute pancreatitis,hemorrhage in 1 case; ESBD group had 2 cases with high blood amylase occurred,1 case of acute pancreatitis, early complications of total incidence were 14% and 6% respectively(P>0.05); Average operation time,respectively (45.3±13.0) min and (30.5±9.2) min(P<0.05). Con-clusion Endoscopic papillary sphincter small incision combined with balloon dilatation lithotomy success rate and post-operative complication rates comparable to conventional sphincterotomy is similary,but the average operation time and the use of mechanical lithotripsy probability compared with EST were low,so EST combined with EPBD to treat com-mon bile stone is a safe and effective method.
