PMID- 15966186
OWN - NLM
STAT- MEDLINE
DCOM- 20051215
LR  - 20121115
IS  - 0172-6390 (Print)
IS  - 0172-6390 (Linking)
VI  - 52
IP  - 63
DP  - 2005 May-Jun
TI  - Endoscopic sphincterotomy and papillary balloon dilation for bile duct stones.
PG  - 700-4
AB  - BACKGROUND/AIMS: There are many reports of the results of endoscopic 
      sphincterotomy (EST) for common bile duct stones. Recently, there were several 
      reports on the results of endoscopic papillary balloon dilation (EPBD) for this 
      condition. However, there have been few reports about a comparison between EST 
      and EPBD. METHODOLOGY: Between Oct. 1994 and Dec. 1998, 196 consecutive patients 
      underwent 102 EST or 94 EPBD. RESULTS: EST and EPBD were successful in 100 of 102 
      (98.0%), and all 94 patients. Bile duct clearance was achieved in 88 (88.0%) in 
      the EST group and 88 (95.7%) in the EPBD group. Early complications occurred in 
      13 (13.0%: 3 acute pancreatitis, 4 cholangitis, 2 cholecystitis, 2 bleeding, 2 
      perforation) in the EST group and 16 (17.0%: 7 acute pancreatitis, 4 cholangitis, 
      4 cholecystitis, 1 basket impaction) in the EPBD group. Three patients (1 
      bleeding, 2 perforations) underwent emergent surgery after EST. CONCLUSIONS: The 
      rate of bile duct clearance with EPBD was comparable to that with EST. Early 
      complications did not differ between EST and EPBD. The use of EST tended to be 
      associated with a lower incidence of acute pancreatitis, a higher incidence of 
      bleeding, and a higher rate of perforation.
FAU - Toda, Nobuo
AU  - Toda N
AD  - Division of Gastroenterology, Kameda General Hospital, University Of Tokyo, 
      Japan. toda-2im@h.u-tokyo.ac.jp
FAU - Saito, Keiji
AU  - Saito K
FAU - Wada, Ryou
AU  - Wada R
FAU - Kawabe, Takao
AU  - Kawabe T
FAU - Shiratori, Yasushi
AU  - Shiratori Y
FAU - Mitsushima, Toru
AU  - Mitsushima T
FAU - Omata, Masao
AU  - Omata M
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/pathology/surgery
MH  - Catheterization/*methods
MH  - Common Bile Duct Neoplasms/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Sphincterotomy, Endoscopic/*methods
EDAT- 2005/06/22 09:00
MHDA- 2005/12/16 09:00
CRDT- 2005/06/22 09:00
PHST- 2005/06/22 09:00 [pubmed]
PHST- 2005/12/16 09:00 [medline]
PHST- 2005/06/22 09:00 [entrez]
PST - ppublish
SO  - Hepatogastroenterology. 2005 May-Jun;52(63):700-4.