Academic Journals Database
Disseminating quality controlled scientific knowledge

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

ADD TO MY LIST
 
Author(s): 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 Journal of Gastroenterology
ISSN 1007-9327

Volume: 15;
Issue: 34;
Start page: 4298;
Date: 2009;
Original page

Keywords: Sphincterotomy | Endoscopic | Balloon dilatation | Cholelithiasis | Lithotripsy

ABSTRACT
AIM: To compare small sphincterotomy combined with endoscopic papillary large balloon dilation (SES + ELBD) and endoscopic sphincterotomy (EST) for large bile duct stones.METHODS: We compared prospectively SES + ELBD (group A, n = 27) with conventional EST (group B, n = 28) for the treatment of large bile duct stones (≥ 15 mm). When the stone could not be removed with a normal basket, mechanical lithotripsy was performed. We compared the rates of complete stone removal with one session and application of mechanical lithotripsy.RESULTS: No significant differences were observed in the mean largest stone size (A: 20.8 mm, B: 21.3 mm), bile duct diameter (A: 21.4 mm, B: 20.5 mm), number of stones (A: 2.2, B: 2.3), or procedure time (A: 18 min, B: 19 min) between the two groups. The rates of complete stone removal with one session was 85% in group A and 86% in group B (P = 0.473). Mechanical lithotripsy was required for stone removal in nine of 27 patients (33%) in group A and nine of 28 patients (32%, P = 0.527) in group B.CONCLUSION: SES + ELBD did not show significant benefits compared to conventional EST, especially for the removal of large (≥ 15 mm) bile duct stones.

Tango Jona
Tangokurs Rapperswil-Jona

     Affiliate Program