PMID- 19005760
OWN - NLM
STAT- MEDLINE
DCOM- 20090715
LR  - 20220310
IS  - 1573-2568 (Electronic)
IS  - 0163-2116 (Linking)
VI  - 54
IP  - 7
DP  - 2009 Jul
TI  - Sequential endoscopic papillary balloon dilatation following limited 
      sphincterotomy for common bile duct stones.
PG  - 1578-81
LID - 10.1007/s10620-008-0534-1 [doi]
AB  - Endoscopic papillary balloon dilatation (EPBD) has been recently used in 
      conjunction with endoscopic sphincterotomy (EST) for the removal of common bile 
      duct (CBD) stones. The present study was aimed at assessing the safety and 
      outcome of sequential EPBD following EST for CBD stones. A total of 74 patients 
      (43 females, mean age 41 years) with > or = 10-mm stone(s) in the CBD were 
      selected for the procedure, which included limited EST followed by EPBD with 
      balloon dilators of 10-18 mm in size. Eleven patients had undergone EST and 
      unsuccessful stone removal earlier. Forty-nine patients had symptoms of CBD 
      stones, while 25 were detected on imaging. Eleven patients had previous CBD stent 
      in situ and four had T-tube in situ. The stone size was 10-12 mm in 34, 13-14 mm 
      in 26, and > or = 15 mm in 14 patients. Thirty-one patients had a single stone, 
      while 43 had > or = 2 stones. The successful removal of stones was achieved in 68 
      (91.9%) patients; 62 in the first attempt, five in the second, and one in the 
      third. Six patients were deemed to be "failures." In two of them, the stones 
      could be removed after mechanical lithotripsy. Complications were seen in 16 
      patients, with self-limiting pain in 13, self-limiting ooze in five, melaena in 
      one, and mild pancreatitis in two. One patient had impaction of the dormia 
      basket. We conclude that EPBD following EST is safe and effective in removing 
      stones > or = 10 mm in size in over 90% of patients.
FAU - Kochhar, Rakesh
AU  - Kochhar R
AD  - Department of Gastroenterology, Postgraduate Institute of Medical Education and 
      Research, Chandigarh, 160012, India. dr_kochhar@hotmail.com
FAU - Dutta, Usha
AU  - Dutta U
FAU - Shukla, Rajat
AU  - Shukla R
FAU - Nagi, Birinder
AU  - Nagi B
FAU - Singh, Kartar
AU  - Singh K
FAU - Wig, Jai D
AU  - Wig JD
LA  - eng
PT  - Journal Article
DEP - 20081113
PL  - United States
TA  - Dig Dis Sci
JT  - Digestive diseases and sciences
JID - 7902782
SB  - IM
MH  - Adult
MH  - Aged
MH  - Catheterization/*methods
MH  - Female
MH  - Gallstones/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retreatment
MH  - Sphincterotomy, Endoscopic
MH  - Treatment Outcome
EDAT- 2008/11/14 09:00
MHDA- 2009/07/16 09:00
CRDT- 2008/11/14 09:00
PHST- 2008/04/26 00:00 [received]
PHST- 2008/09/11 00:00 [accepted]
PHST- 2008/11/14 09:00 [pubmed]
PHST- 2009/07/16 09:00 [medline]
PHST- 2008/11/14 09:00 [entrez]
AID - 10.1007/s10620-008-0534-1 [doi]
PST - ppublish
SO  - Dig Dis Sci. 2009 Jul;54(7):1578-81. doi: 10.1007/s10620-008-0534-1. Epub 2008 
      Nov 13.