Effect of Endoscopic Papillary Balloon Dilatation in Lithotomy of Common Bile Duct Stones
- VernacularTitle:内镜下十二指肠乳头括约肌柱状气囊扩张术用于胆总管结石取石术中的效果
- Author:
Yalong HE
1
;
Xiaoyan WANG
;
Ping CHEN
;
Youli ZHANG
Author Information
1. 江苏大学附属医院消化科
- Keywords:
Common bile duct stones;
Endoscopic papillary balloon dilatation;
Acute pancreatitis
- From:
Chinese Journal of Clinical Medicine
2014;(6):663-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy and security of endoscopic papillary balloon dilatation(EPBD)in lithotomy of common bile duct stones.Methods:The clinical data of 76 patients with common bile duct stones who underwent EPBD were retrospectively analyzed.Results:The common bile duct stones were successfully removed in 73 of the 76 patients.The success rate was 96.1% while the mean operative time was (30±12)min.There was no intestinal perforation.Five cases suffered intra-operative active bleeding which was successfully stopped by topical spraying norepinephrine or submucosal injection of 1∶10000 epinephrine.One case was complicated by postoperative acute pancreatitis while eight cases had hyperamylasemia.All the cases above were cured by conservative treatment.The average length of hospital stay was (3±4.5)d.Conclusions:The application of EPBD is safe in lithotomy of common bile duct stones,which has the advantage of short operative time and small trauma, quick recovery and few complications.