The efficacy of limited endoscopic sphincterotomy plus endoscopic papillary large balloon dilation for removal of large bile duct stones

The removal of large bile duct stones (> 15 mm) by conventional endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) can be challenging, requiring mechanical lithotripsy (ML) in addition to EST or EPBD. The primary complication of ML is basket and stone impaction, whic...

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Veröffentlicht in:	BMC gastroenterology 2019-06, Vol.19 (1), p.93-93, Article 93
Hauptverfasser:	Kuo, Chung-Mou, Chiu, Yi-Chun, Liang, Chih-Ming, Wu, Cheng-Kun, Lu, Lung-Sheng, Tai, Wei-Chen, Kuo, Yuan-Hung, Wu, Keng-Liang, Chuah, Seng-Kee, Kuo, Chung-Huang
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Ampulla of Vater - surgery Anticoagulants Balloon treatment Bile Bile ducts Care and treatment Catheterization Cholangitis Choledocholithiasis - pathology Choledocholithiasis - surgery Complications Complications and side effects Containers Dilatation - instrumentation Dilatation - methods Endoscopic papillary balloon dilation Endoscopic sphincterotomy Endoscopy Female Gastroenterology Humans Large bile duct stone extraction Limited endoscopic sphincterotomy plus endoscopic papillary large balloon dilation Lithotripsy Male Middle Aged Pancreatitis Patients Recurrence Recurrence (Disease) Retrospective Studies Risk Factors Single-Balloon Enteroscopy - instrumentation Single-Balloon Enteroscopy - methods Sphincterotomy Sphincterotomy, Endoscopic - methods Treatment Outcome
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Zusammenfassung:	The removal of large bile duct stones (> 15 mm) by conventional endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) can be challenging, requiring mechanical lithotripsy (ML) in addition to EST or EPBD. The primary complication of ML is basket and stone impaction, which can lead to complications such as pancreatitis and cholangitis. The present study aims to investigate the efficacy of limited EST plus endoscopic papillary large balloon dilation (EST-EPLBD) for large bile duct stone extraction with an extent of cutting
ISSN:	1471-230X 1471-230X
DOI:	10.1186/s12876-019-1017-x