Optimal dilation time for combined small endoscopic sphincterotomy and balloon dilation for common bile duct stones: a multicentre, single-blinded, randomised controlled trial

Endoscopic sphincterotomy is the established treatment for common bile duct stones. Balloon dilation offers an alternative. Prolonged dilation (300 s) with a 10 mm diameter balloon decreases the occurrence of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). We aimed to deter...

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Veröffentlicht in:	The lancet. Gastroenterology & hepatology 2019-06, Vol.4 (6), p.425-434
Hauptverfasser:	Meng, Wenbo, Leung, Joseph W, Zhang, Kai, Zhou, Wence, Wang, Zhenyu, Zhang, Leida, Sun, Hao, Xue, Ping, Liu, Wei, Wang, Qi, Zhang, Jijun, Wang, Xuefeng, Wang, Meng, Shao, Yingmei, Cai, Kailin, Hou, Senlin, Li, Qiyong, Zhang, Lei, Zhu, Kexiang, Yue, Ping, Wang, Haiping, Zhang, Ming, Sun, Xiangyu, Yang, Zhiqing, Tao, Jie, Wen, Zilong, Wang, Qunwei, Chen, Bendong, Shao, Quan, Zhao, Mingning, Zhang, Ruoyan, Jiang, Tiemin, Liu, Ke, Zhang, Lichao, Chen, Kangjie, Zhu, Xiaoliang, Zhang, Hui, Miao, Long, Wang, Zhengfeng, Li, Jiajia, Yan, Xiaowen, Wang, Fangzhao, Zhang, Lingen, Suzuki, Azumi, Tanaka, Kiyohito, Nur, Ula, Weiderpass, Elisabete, Li, Xun
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged China - epidemiology Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangitis - epidemiology Cholecystitis, Acute - epidemiology Dilatation - methods Female Gallstones - therapy Gastrointestinal Hemorrhage - epidemiology Humans Male Middle Aged Pancreatitis - epidemiology Pancreatitis - prevention & control Single-Blind Method Sphincterotomy, Endoscopic Time Factors
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Beschreibung
Zusammenfassung:	Endoscopic sphincterotomy is the established treatment for common bile duct stones. Balloon dilation offers an alternative. Prolonged dilation (300 s) with a 10 mm diameter balloon decreases the occurrence of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). We aimed to determine the optimal duration of dilation for combined endoscopic sphincterotomy and balloon dilation for the removal of common bile duct stones. We did a multicentre, single-blinded, randomised controlled trial at 15 tertiary surgical centres in China. Eligible patients (≥18 years) with native papilla and common bile duct stones (≤1·5 cm in size and
ISSN:	2468-1253 2468-1253
DOI:	10.1016/S2468-1253(19)30075-5