Limited endoscopic sphincterotomy plus balloon dilation (ESBD)for large choledocholithiasis ac-companied with periampullary diverticula
10.3760/cma.j.issn.1007-5232.2015.05.003
- VernacularTitle:内镜十二指肠乳头小切开联合气囊扩张治疗伴壶腹部憩室的胆总管大结石的价值研究
- Author:
Ranran ZENG
;
Gang SUN
;
Xiuli ZHANG
;
Fengchun CAI
;
Wen LI
;
Qiyang HUANG
;
Enqiang LINGHU
;
Yunsheng YANG
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Sphincterotomy,endoscopic;
Large choledocholithiasis;
Periampullary diverticula;
Balloon dilation
- From:
Chinese Journal of Digestive Endoscopy
2015;(5):281-285
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness and safety of limited endoscopic sphincterotomy plus endoscopic papillary balloon dilation (ESBD)for patients with large common duct stones and periampul-lary diverticula (PAD).Methods Data of 40 patients with large common duct stones (diameter ≥10 mm) and PAD who underwent ESBD were retrospectively reviewed.The clinical feature,operation method,suc-cess rates of stone removal and early complications rates during hospitalization were evaluated according to PAD subtypes.Results The stone removal rate in first session was 90.0%(36 /40,with a median time of 29 minutes per procedure.Three patients underwent a second procedure to remove residual stones.The over-all stone removal rate was 97.5% (39 /40).The early complications rate was 15%(6 /40),including mild pancreatitis in two cases(5%),hyperamylasemia in two (5%),postoperative late bleeding in two (5%), which were cured with conservative treatment.No perforation,massive hemorrhage or death occurred.No significant differences in success stone removal rate and early complication rate were found between PAD sub-types.Conclusion ESBD is an effective and safe procedure for removing choledocholithiasis in patients with PAD,regardless of PAD subtypes.
