Analysis of the efficacy and complications of the treatment of common bile duct stone by ESBD
10.3760/cma.j.issn.1008-6706.2017.14.035
- VernacularTitle:内镜下乳头肌小切开联合球囊扩张术治疗胆总管结石的疗效及并发症分析
- Author:
Hongfang HE
;
Jinquan SHUANG
;
Xiangyang SHI
;
Siqing DU
- Keywords:
Choledocholithiasis;
Sphincterotomy;
endoscopic;
Balloon dilation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(14):2211-2214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect and safety of endoscopic duodenal papillal incision combined dilatation(ESBD) and endoscopic sphincterotomy(EST) in the treatment of common bile duct stone.Methods A retrospective analysis of 71 cases of choledocholithiasis,according to surgical methods,were divided into group EST (45 cases) and group ESBD (26 cases).The effect and safety of the above two kinds of treatment was evaluated through observing the rate of one-time stone clearance and postoperative complications.Results The success rate of removing calculous of the two groups was above 95%,and there was no significant difference between the two kinds of treatment(EST and ESBD)(P>0.05).Recent complications:the incidence rate of hemorrhage of the EST group was 0.0%,which of the ESBD group was 3.8%,there was no significant difference between the two groups(P>0.05).The incidence rate of postoperative pancreatitis of the EST group was 8.8%,which the ESBD group was 3.8%,there was no significant difference between the two groups(P>0.05).The diameter of the removed stone of the two groups:the EST group was (0.70±0.35)cm,and the ESBD group was (1.41±0.69)cm,there was significant difference between the two groups(P<0.05).Conclusion There are no significant differences in early complications and the success rate of removing stone between the EST group and the ESBD group.However,ESBD preserved teat sphincter's physiological barrier function to the greatest extent and the diameter of the removed stone was obviously larger than the EST group.Therefore,it is much safer for those who have quite large common bile duct stone or people who are with joint periampullary diverticulum to be treated by ESBD.
