We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Limited precut sphincterotomy combined with endoscopic papillary balloon dilation for common bile duct stone removal in patients with difficult biliary cannulation.
- Authors
Chung-Mou Kuo; Yi-Chun Chiu; Chih-Ming Liang; Lung-Sheng Lu; Wei-Chen Tai; Yuan-Hung Kuo; Cheng-Kun Wu; Seng-Kee Chuah; Chi-Sin Changchien; Chung-Huang Kuo; Kuo, Chung-Mou; Chiu, Yi-Chun; Liang, Chih-Ming; Lu, Lung-Sheng; Tai, Wei-Chen; Kuo, Yuan-Hung; Wu, Cheng-Kun; Chuah, Seng-Kee; Changchien, Chi-Sin; Kuo, Chung-Huang
- Abstract
<bold>Background: </bold>Difficult biliary cannulation in endoscopic retrograde cholangiopancreatography (ERCP) can result in failure of common bile duct (CBD) stone removal and pancreatitis. The present study aimed to report the efficacy and safety of limited precut sphincterotomy (PS) combined with endoscopic papillary balloon dilation (EPBD) for CBD stone removal in patients with difficult biliary cannulation, and the complications associated with this combined procedure. <bold>Methods: </bold>A total of 3305 patients underwent ERCP in our hospital between October 2009 and September 2014 and 258 were diagnosed with difficult biliary cannulation. Of these 258 patients, 58 underwent limited PS combined with EPBD for CBD stone removal, and these 58 patients were included in this retrospective study. <bold>Results: </bold>The overall success rate was 94.8 % (55/58), and the success rate for single-session removal was 87.9 % (51/58). The mean procedure time was 41 ± 11.48 min (range, 20-72 min). Mechanical lithotripsy was needed in 10.3 % (6/58) of patients. Procedure-related complications included bleeding in 3.4 % (2/58), pancreatitis in 8.6 % (5/58) and biliary tract infection (BTI) in 1.7 % (1/58) of patients. <bold>Conclusions: </bold>The therapeutic outcome of limited PS combined with EPBD for CBD stone removal in patients with difficult biliary cannulation was good with an acceptable complication rate. It could be an alternative to PS and "early" limited PS should be used for prompt identification of the bile duct. Limited PS combined with EPBD is safe and effective for CBD stone removal in patients with difficult biliary cannulation.
- Subjects
BILE ducts; PAPILLARY carcinoma; BILIOUS diseases &; biliousness; COMPUTED tomography; RADIOGRAPHY; LITHOTRIPSY; ENDOSCOPIC retrograde cholangiopancreatography; GALLSTONES; PATHOLOGICAL physiology; TREATMENT effectiveness; RETROSPECTIVE studies; ENDOSCOPIC gastrointestinal surgery
- Publication
BMC Gastroenterology, 2016, Vol 16, p1
- ISSN
1471-230X
- Publication type
journal article
- DOI
10.1186/s12876-016-0486-4