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

被引:51
作者
Kim, Ka Young [1 ]
Han, Jimin [1 ]
Kim, Ho Gak [1 ]
Kim, Byeong Suk [1 ]
Jung, Jin Tae [1 ]
Kwon, Joong Goo [1 ]
Kim, Eun Young [1 ]
Lee, Chang Hyeong [1 ]
机构
[1] Catholic Univ Daegu, Sch Med, Dept Internal Med, 33 Duryugongwon Ro 17 Gil, Daegu 705718, South Korea
关键词
Common bile duct stone; Sphincterotomy; endoscopic; Endoscopic large balloon dilation; Stone recurrence; Late complication;
D O I
10.5946/ce.2013.46.6.637
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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 >= 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) < 135 degrees, 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.
引用
收藏
页码:637 / 642
页数:6
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