scholarly journals Effects Comparison between Endoscopic Papillary Large Balloon Dilatation and Endoscopic Sphincterotomy for Common Bile Duct Stone Removal

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Yandong Guo ◽  
Chen Li ◽  
Shan Lei ◽  
Fachao Zhi
Keyword(s):  
Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Treatment Duration ◽  
Balloon Dilatation ◽  
Bile Duct Stone ◽  
Removal Rate ◽  
Mechanical Lithotripsy ◽  
Stone Removal ◽  
Large Balloon ◽  
Complications Rate

Endoscopic sphincterotomy (EST) is a treatment of choice for stone extraction and is now most frequently used. The study was to compare the efficacy of endoscopic papillary large balloon dilatation (EPLBD) and endoscopic sphincterotomy (EST) for common bile duct stone removal. Trials comparing the effects between EPLBD and EST treatment were searched according to the study protocol. Overall stone removal rate, complete removal rate in 1st session, treatment duration, mechanical lithotripsy using rate, and overall complication rate were compared using risk ratio (RR) and mean difference (MD) and their 95% confidence interval (CI) via RevMan 5.2 software. For overall stone removal rate, two therapies showed similar effect, but EPLBD showed better overall stone removal rate for stone >10 mm in diameter. For complete stone removal rate in 1st session, no difference was found, even for those with stone >10 mm in diameter; EPLBD showed longer treatment duration, higher mechanical lithotripsy using rate obvious overall complications rate, and more serious bleeding, whereas there were no significant differences for perforation, hyperamylasemia, pancreatitis, and cholecystitis/cholangitis. EPLBD showed better efficacy in certain conditions compared to EST, however with shortcomings, such as more duration, higher mechanical lithotripsy using rate, more serious overall complications rate, and bleeding.

scholarly journals Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Lei Xu ◽  
Moe Htet Kyaw ◽  
Yee Kit Tse ◽  
James Yun Wong Lau
Keyword(s):  
Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Removal Rate ◽  
Balloon Dilation ◽  
Bile Duct Stones ◽  
Safety And Efficacy ◽  
Mechanical Lithotripsy ◽  
Stone Removal ◽  
Large Balloon ◽  
Large Balloon Dilation

The safety and efficacy of endoscopic sphincterotomy with large balloon dilation (EPLBD) are unclear. This study compares the safety and efficacy between EPLBD and endoscopic sphincterotomy (EST).Patients and Methods. Literatures were searched for randomized controlled trials in PUBMED, EMBASE, and Cochrane Library. Outcome measurements included adverse events; stone removal rate; requirement of mechanical lithotripsy.Results. Four RCTs with a total of 596 patients were included. Three RCTs compared EPLBD versus EST alone for stone removal; one RCT compared EPLBD versus EST plus mechanical lithotripsy for stone removal. Pooled data from three RCTs showed that there was no significant difference in the adverse event of ERCP. A significantly higher cholangitis rate was seen in patients who received EST plus mechanical lithotripsy, compared to those treated with EPLBD (13.3% versus 0.0,P=0.026). No statistical difference was found between EPLBD and EST for stone removal rate. Significant differences in requirement of mechanical lithotripsy were seen with removal of large stones (>15 mm), with EPLBD reducing the use of mechanical lithotripsy (RR: 0.73; 95% CI: 0.54–0.99).Conclusions. EPLBD and EST have similar efficacy and safety for bile duct stones clearance. With larger stones, EPLBD can reduce requirement of mechanical lithotripsy.

Large balloon dilatation following endoscopic sphincterotomy using a balloon enteroscope for the bile duct stone extractions in patients with Roux-en-Y anastomosis

2011 ◽  
Vol 43 (3) ◽  
pp. 237-241 ◽  
Author(s):  
Takao Itoi ◽  
Kentaro Ishii ◽  
Atsushi Sofuni ◽  
Fumihide Itokawa ◽  
Toshio Kurihara ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Balloon Dilatation ◽  
Bile Duct Stone ◽  
Large Balloon
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