Endoscopic Papillary Large Balloon Dilation Versus Endoscopic Sphincterotomy for Treatment of Bile Duct Stones.
Bile duct stones
Biliary sphincterotomy
Choledocholithiasis
Papillary balloon dilation
Journal
Current treatment options in gastroenterology
ISSN: 1092-8472
Titre abrégé: Curr Treat Options Gastroenterol
Pays: United States
ID NLM: 9815941
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
pubmed:
5
4
2019
medline:
5
4
2019
entrez:
5
4
2019
Statut:
ppublish
Résumé
To review the current literature focusing on the indications, efficacy, and safety of endoscopic papillary balloon dilation (EPBD) and endoscopic papillary large balloon dilation (EPLBD) with or without endoscopic sphincterotomy (EST) in the treatment of bile duct stones. • EPBD without EST is associated with a higher risk of post-procedural pancreatitis and lower rate of stone clearance than EST alone. • EPBD without EST should be at least 2 min in duration, and placement of a pancreatic stent and other measures to reduce pancreatitis risk should be considered. • EPBD without EST is most useful to reduce risk of bleeding in patients with coagulopathy. • EPLBD combined with EST can be used as an alternative or adjunct to mechanical lithotripsy in the removal of large or difficult bile duct stones. • EPLBD combined with EST results in fewer complications than EST alone for removal of bile duct stones.
Identifiants
pubmed: 30945095
doi: 10.1007/s11938-019-00234-5
pii: 10.1007/s11938-019-00234-5
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
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