Late Complications and Stone Recurrence Rates after Bile Duct Stone Removal by Endoscopic Sphincterotomy and Large Balloon Dilation are Similar to Those after Endoscopic Sphincterotomy Alone
Clinical Endoscopy
; : 637-642, 2013.
Article
在 En
| WPRIM
| ID: wpr-152443
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS: Between endoscopic sphincterotomy (ES) alone and combined endoscopic sphincterotomy and large balloon dilation (ES-LBD) groups, efficacy and long-term complications, difference in biliary stone recurrence rate, and risk factors of stone recurrence were compared. METHODS: Medical records of 222 patients who underwent ERCP for biliary stone removal were retrospectively reviewed. Patients with dilated CBD > or =11 mm and follow-up longer than 6 months were included. RESULTS: There were 101 patients in ES-LBD group and 121 patients in ES group. Mean follow-up duration was 25.0 (6-48) months and 13.0 (6-43) months, respectively (p=0.001). There was no difference in number of ERCP sessions, brown pigment stones, angle between mid and distal common bile duct (CBD angle) <135degrees, and lithotripsy rate. Complete retrieval success rate was excellent in both groups (100% vs. 99%). Early complication rate of ES-LBD and ES alone group was 4 and 4.1%, respectively (p=1.000). One patient in ES-LBD group died from delayed bleeding. Late complication rate was 5.9 and 3.3%, respectively (p=1.000). Stone recurrence rate was 6.9% and 5.8%, respectively (p=0.984). The only Independent risk factor of stone recurrence was presence of periampullary diverticulum. CONCLUSIONS: Late complication and stone recurrence rates were similar between ES-LBD and ES alone groups.
Key words
全文:
1
索引:
WPRIM
主要主题:
Recurrence
/
Bile
/
Bile Ducts
/
Lithotripsy
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
研究类型:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
限制:
Humans
语言:
En
期刊:
Clinical Endoscopy
年:
2013
类型:
Article