Analysis of small-middle endoscopic sphincterotomy combined with endoscopic papillary balloon dilation for patients with extrahepatic bile duct stone

VernacularTitle:内镜下乳头括约肌小中切开术联合球囊扩张术治疗肝外胆管结石的探讨
Author: Qiuhong JIA ; Fujian LIU ; Yuanzhuang LIAO ; Hang GUAN ; Zhiyong JIANG ; Zhaojiong LU
Keywords: extrahepatic bile duct stone; small-middle endoscopic sphincterotomy; endoscopic papillary balloon dilation; special duodenal papilla
From: China Journal of Endoscopy 2016;22(9):98-101
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy and safety of small-middle endoscopic sphincterotomy combined with endoscopic papillary balloon dilation for patients with extrahepatic bile duct stone. Methods The patients with special duodenal papilla included 38 cases, and those with normal duodenal papilla 143 cases. 38 patients had received SEST + EPBD, 143 had received MEST + EPBD. Results 181 patients had received SMEST + EPBD in our hospital and the related data were retrospectively analyzed. All 181 patients were successfully removed, the success rate was 100.00 %. There was no perforation occurred postoperatively, but mild acute pancreatitis occurred in 8 patients (4.42 %, 8/181) and bleeding occurred in 9 patients. The three major early complications rate were 9.93 %(17/181), which was cured by the conservative management. Conclusion SMEST plus EPBD is a safe and effective treatment for extrahepatic bile duct stone, with retaining the feature of sphincter of duodenal papilla, especially for patients with special duodenal papilla.