PMID- 15143885
OWN - NLM
STAT- MEDLINE
DCOM- 20040726
LR  - 20121115
IS  - 0172-6390 (Print)
IS  - 0172-6390 (Linking)
VI  - 51
IP  - 57
DP  - 2004 May-Jun
TI  - Endoscopic papillary balloon dilation for treatment of common bile duct stones.
PG  - 652-7
AB  - BACKGROUND/AIMS: Use of endoscopic papillary balloon dilation (EPBD) for the 
      treatment of common bile duct stones has increased in recent years, owing to its 
      simplicity and its advantage of preserving sphincter function. It has been 
      reported that EPBD is associated with a lower risk of bleeding, but a higher risk 
      of pancreatitis than endoscopic sphincterotomy. However, there have been few 
      reports on studies of post-EPBD pancreatitis. This report concerns the use of 
      EPBD at our department for the treatment of common bile duct stones and early 
      postoperative complications, with a focus on pancreatitis. METHODOLOGY: The study 
      was conducted in 63 patients with choledocholithiasis, including 4 patients with 
      cirrhosis and 21 patients with periampullary diverticula. The stones were 
      extracted after EPBD conducted with an 8-mm dilatation balloon. RESULTS: Complete 
      removal of stones was achieved in 53 out of 63 patients (84.1%). Pancreatitis 
      meeting the criteria of Cotton et al. occurred in 7 of the 63 patients (11.1%), 
      while 12 patients (19.5%) were affected when milder cases of pancreatitis were 
      included. Severe pancreatitis occurred in 1 patient only. Cholangitis occurred in 
      3 patients (4.8%) and basket impaction occurred in 1 patient (1.6%), but no 
      serious complications such as bleeding or perforation were encountered. 
      CONCLUSIONS: These results suggest that EPBD is an effective procedure for the 
      treatment of common bile duct stones, with a low risk of serious complications.
FAU - Watanabe, Hidetaka
AU  - Watanabe H
AD  - Department of Gastroenterology, Dokkyo University School of Medicine, Shimotsuga, 
      Tochigi, Japan. hidetaka@dokkyomed.ac.jp
FAU - Hiraishi, Hideyuki
AU  - Hiraishi H
FAU - Koitabashi, Ayako
AU  - Koitabashi A
FAU - Sasai, Takako
AU  - Sasai T
FAU - Kanke, Kazunari
AU  - Kanke K
FAU - Oinuma, Takeshi
AU  - Oinuma T
FAU - Otsuka, Yukio
AU  - Otsuka Y
FAU - Watanabe, Yoshihito
AU  - Watanabe Y
FAU - Suzuki, Yasunaga
AU  - Suzuki Y
FAU - Terano, Akira
AU  - Terano A
LA  - eng
PT  - Journal Article
PL  - Greece
TA  - Hepatogastroenterology
JT  - Hepato-gastroenterology
JID - 8007849
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Ampulla of Vater
MH  - *Catheterization
MH  - Female
MH  - Gallstones/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/etiology
EDAT- 2004/05/18 05:00
MHDA- 2004/07/28 05:00
CRDT- 2004/05/18 05:00
PHST- 2004/05/18 05:00 [pubmed]
PHST- 2004/07/28 05:00 [medline]
PHST- 2004/05/18 05:00 [entrez]
PST - ppublish
SO  - Hepatogastroenterology. 2004 May-Jun;51(57):652-7.