PMID- 33255554
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201226
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 9
IP  - 12
DP  - 2020 Nov 25
TI  - Best Procedure for the Management of Common Bile Duct Stones via the Papilla: 
      Literature Review and Analysis of Procedural Efficacy and Safety.
LID - 10.3390/jcm9123808 [doi]
LID - 3808
AB  - BACKGROUND: Endoscopic management of common bile duct stones (CBDS) is standard; 
      however, various techniques are performed via the papilla, and the best procedure 
      in terms of both efficacy and safety has not been determined. METHODS: Endoscopic 
      procedures were classified into five categories according to endoscopic 
      sphincterotomy (EST) and balloon dilation (BD): (1) EST, (2) endoscopic papillary 
      BD (</=10 mm) (EPBD), (3) EST followed by BD (</=10 mm) (ESBD), (4) endoscopic 
      papillary large BD (>/=12 mm) (EPLBD), and (5) EST followed by large BD (>/=12 mm) 
      (ESLBD). We performed a literature review of prospective and retrospective 
      studies to compare efficacy and adverse events (AEs). Each procedure was 
      associated with different efficacy and AE profiles. RESULTS: In total, 19 
      prospective and seven retrospective studies with a total of 3930 patients were 
      included in this study. For EST, the complete stone removal rate at the first 
      session, rate of mechanical lithotripsy (ML), and rate of overall AEs in EST were 
      superior to EPBD, but a higher rate of bleeding was found for EST. Based on one 
      retrospective study, complete stone removal rate at the first session, rate of 
      ML, and rate of overall AEs were superior for ESBD vs. EST, and the rate of 
      bleeding for the former was also lower. Complete stone removal rate at the first 
      session and rate of ML for ESLBD were superior to those for EST, with no 
      significant difference in rate of AEs. For EST vs. EPLBD, complete stone removal 
      rate at the first session and rate of ML were superior for the latter. For EPLBD 
      vs. ESLBD, the efficacy and safety were similar. CONCLUSIONS: ESBD is considered 
      the best procedure for the management of small CBDS, but strong evidence is 
      lacking. For large CBDS, both ESLBD and EPLBD are similar.
FAU - Ishii, Shigeto
AU  - Ishii S
AUID- ORCID: 0000-0002-4151-7765
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Isayama, Hiroyuki
AU  - Isayama H
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Ushio, Mako
AU  - Ushio M
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Takahashi, Sho
AU  - Takahashi S
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Yamagata, Wataru
AU  - Yamagata W
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Takasaki, Yusuke
AU  - Takasaki Y
AUID- ORCID: 0000-0002-5036-4545
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Suzuki, Akinori
AU  - Suzuki A
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Ochiai, Kazushige
AU  - Ochiai K
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Tomishima, Ko
AU  - Tomishima K
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Kanazawa, Ryo
AU  - Kanazawa R
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Saito, Hiroaki
AU  - Saito H
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Fujisawa, Toshio
AU  - Fujisawa T
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
FAU - Shiina, Shuichiro
AU  - Shiina S
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20201125
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC7760048
OTO - NOTNLM
OT  - bleeding
OT  - common bile duct stones
OT  - endoscopic papillary balloon dilation
OT  - endoscopic sphincterotomy
OT  - post-ERCP pancreatitis
COIS- The authors declare no conflict of interest.
EDAT- 2020/12/02 06:00
MHDA- 2020/12/02 06:01
PMCR- 2020/11/25
CRDT- 2020/12/01 01:09
PHST- 2020/10/29 00:00 [received]
PHST- 2020/11/10 00:00 [revised]
PHST- 2020/11/23 00:00 [accepted]
PHST- 2020/12/01 01:09 [entrez]
PHST- 2020/12/02 06:00 [pubmed]
PHST- 2020/12/02 06:01 [medline]
PHST- 2020/11/25 00:00 [pmc-release]
AID - jcm9123808 [pii]
AID - jcm-09-03808 [pii]
AID - 10.3390/jcm9123808 [doi]
PST - epublish
SO  - J Clin Med. 2020 Nov 25;9(12):3808. doi: 10.3390/jcm9123808.