BACKGROUND/AIMS: There are many reports of the results of endoscopic sphincterotomy (EST) for common bile duct stones. Recently, there were several reports on the results of endoscopic papillary balloon dilation (EPBD) for this condition. However, there have been few reports about a comparison between EST and EPBD. METHODOLOGY: Between Oct. 1994 and Dec. 1998, 196 consecutive patients underwent 102 EST or 94 EPBD. RESULTS: EST and EPBD were successful in 100 of 102 (98.0%), and all 94 patients. Bile duct clearance was achieved in 88 (88.0%) in the EST group and 88 (95.7%) in the EPBD group. Early complications occurred in 13 (13.0%: 3 acute pancreatitis, 4 cholangitis, 2 cholecystitis, 2 bleeding, 2 perforation) in the EST group and 16 (17.0%: 7 acute pancreatitis, 4 cholangitis, 4 cholecystitis, 1 basket impaction) in the EPBD group. Three patients (1 bleeding, 2 perforations) underwent emergent surgery after EST. CONCLUSIONS: The rate of bile duct clearance with EPBD was comparable to that with EST. Early complications did not differ between EST and EPBD. The use of EST tended to be associated with a lower incidence of acute pancreatitis, a higher incidence of bleeding, and a higher rate of perforation.
BACKGROUND/AIMS: There are many reports of the results of endoscopic sphincterotomy (EST) for common bile duct stones. Recently, there were several reports on the results of endoscopic papillary balloon dilation (EPBD) for this condition. However, there have been few reports about a comparison between EST and EPBD. METHODOLOGY: Between Oct. 1994 and Dec. 1998, 196 consecutive patients underwent 102 EST or 94 EPBD. RESULTS: EST and EPBD were successful in 100 of 102 (98.0%), and all 94 patients. Bile duct clearance was achieved in 88 (88.0%) in the EST group and 88 (95.7%) in the EPBD group. Early complications occurred in 13 (13.0%: 3 acute pancreatitis, 4 cholangitis, 2 cholecystitis, 2 bleeding, 2 perforation) in the EST group and 16 (17.0%: 7 acute pancreatitis, 4 cholangitis, 4 cholecystitis, 1 basket impaction) in the EPBD group. Three patients (1 bleeding, 2 perforations) underwent emergent surgery after EST. CONCLUSIONS: The rate of bile duct clearance with EPBD was comparable to that with EST. Early complications did not differ between EST and EPBD. The use of EST tended to be associated with a lower incidence of acute pancreatitis, a higher incidence of bleeding, and a higher rate of perforation.
Authors: Byoung Wook Bang; Seok Jeong; Don Haeng Lee; Jung Il Lee; Jin-Woo Lee; Kye Sook Kwon; Hyung Gil Kim; Yong Woon Shin; Young Soo Kim Journal: Korean J Intern Med Date: 2010-08-31 Impact factor: 2.884
Authors: De-Min Li; Jie Zhao; Qiu Zhao; Hua Qin; Bo Wang; Rong-Xiang Li; Min Zhang; Ji-Fen Hu; Min Yang Journal: J Huazhong Univ Sci Technolog Med Sci Date: 2014-08-19
Authors: Hyun Gun Kim; Young Koog Cheon; Young Deok Cho; Jong Ho Moon; Do Hyun Park; Tae Hoon Lee; Hyun Jong Choi; Sang-Heum Park; Joon Seong Lee; Moon Sung Lee Journal: World J Gastroenterol Date: 2009-09-14 Impact factor: 5.742