Theraneutic effects of endoscopic sphincterotomy and endoscopic papillary balloon dilation for extrahepatic bile duct stones
10.3760/cma.j.issn.1007-5232.2012.08.010
- VernacularTitle:十二指肠乳头切开术联合球囊扩张术在肝外胆管结石内镜治疗中的作用
- Author:
Xiaojiang ZHOU
;
Guohua LI
;
Youxiang CHEN
;
Nonghua Lü
- Publication Type:Journal Article
- Keywords:
Endoscopic sphincterotomy;
Endoscopic papillary balloon dilation;
Extrahepatic bile duct stone
- From:
Chinese Journal of Digestive Endoscopy
2012;29(8):452-454
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and efficacy of endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) in the treatment for extrahepatic bile duct stones.Methods A total of 164 patients underwent endoscopic treatment for extrahepatic bile duct stones.Seventy eight underwent EST and EPBD (the EST + EPBD group),86 others underwent EST only (the EST group).The complication rate,complete stone clearance rate and gravel incidence rate were compared between the two groups.Results Hyperamylasemia occurred in 3 cases,mild acute pancreatitis in 2 cases of the EST and EPBD group,while hyperamylasemia occurred in 5 cases,mild acute pancreatitis in 3 and hemorrhage in 2 of the EST group.There were no severe complications like severe acute pancreatitis or intestinal perforation.The complication rate of the EST + EPBD group ( 6.4％,5/78 ) was slightly lower than that of the EST group ( 11.6％,10/86),(x2 =1.340,P =0.288),so was gravel incidence (33.3％ vs.60.5％,x2 =12.073,P =0.001 ).While complete stone clearance rate of this group was obviously higher than that of the EST group (100.0％ vs.93.0％ ),(x2 =5.649,P=0.030).Conclusion EST combined with EPBD is safe and effective for extrahepatic bile duct stone removal,especially for large stones or poor duodenal papilla.
