Endoscopic papillary balloon dilation in treatment of choledocholithiasis associated with peripapillary duodenal diverticulum
10.3760/cma.j.issn.1007-8118.2019.04.006
- VernacularTitle:内镜下柱状球囊扩张取石治疗十二指肠乳头旁憩室合并胆总管结石
- Author:
Shengxiong CHEN
1
;
Chen JIN
;
Zijia HAO
;
Zhigang QU
;
Wenbin WANG
;
Changqing YAN
;
Jiansheng ZHANG
;
Jianhua LIU
;
Zegao ZHOU
Author Information
1. 河北医科大学第二医院肝胆外科
- Keywords:
Endoscopic retrograde cholangiopancreatography;
Parapapillary duodenal diverticula;
Choledocholithiasis;
Endoscopic papillary balloon dilation
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(4):264-267
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the use of endoscopic papillary balloon dilation in treatment of choledocholithiasis associated with peripapillary duodenal diverticulum.Methods From January 2017 to July 2018,a retrospective study was conducted on 124 patients with choledocholithiasis associated with peripapillary duodenal diverticula at the Department of Hepatobiliary Surgery,Second Hospital of Hebei Medical University.These patients were divided into the small endoscopic sphincterotomy combined with balloon dilation group (sEST+EPBD,n =60) and the simple papillary balloon dilation group (EPBD n =64).The operation time,one-time success rate of stone removal,complication and hospitalization stay were compared between the two groups of patients.Results The hospitalization expenses of the EPBD group was significantly less than the sEST+EPBD group (P＜0.05).The operation time of the EPBD group was significantly shorten than the sEST+EPBD group (P＜0.05).There were no significant differences in the one-time success rate of stone removal,complication rates and hospitalization stay between the two groups (P＞0.05).Conclusions Compared with sEST+EPBD,treatment of choledocholithiasis in patients with peripapillary duodenal diverticula using simple balloon dilation shortened the operation time,did not increase the complication rates and hospitalization stay.The procedure was safe and effective,and resulted in almost the same one-time success rate of stone removal.
