Is the Balloon Dilation Duration in Endoscopic Papillary Balloon Dilation (EPBD) Related to the Occurrence of Post-EPBD Pancreatitis?
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Is the Balloon Dilation Duration in Endoscopic Papillary Balloon Dilation (EPBD) Related to the Occurrence of Post-EPBD Pancreatitis?
papillary balloon dilation (EPBD) was proposed as an alternative to endoscopic sphincterotomy (EST) for opening the bile duct orifice to allow stone extraction with functional preservation of the biliary sphincter. Since its introduction in 1982, 1 EPBD has been widely performed because it is associated with lower bleeding and perforation risks compared to EST. 2-6 However, EPBD is more likely ...
متن کاملDilation Time in Endoscopic Papillary Balloon Dilation for Common Bile Duct Stones
BACKGROUND To assess the short-term outcomes after endoscopic sphincterotomy (EST) plus endoscopic papillary balloon dilation (EPBD) versus EPBD alone and appropriate balloon dilation time in EPBD alone. MATERIALS AND METHODS A total of 413 patients with common bile duct stones (CBDSs) were included in the EST plus EPBD group and 84 were in the EPBD alone group. We retrospectively evaluated t...
متن کاملSafety and efficacy of minimal biliary sphincterotomy with papillary balloon dilation (m-EBS+EPBD) in patients using clopidogrel or anticoagulation
Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic biliary sphincterotomy (EBS) or endoscopic papillary balloon dilation (EPBD) are common techniques of biliary decompression. Potential risks include gastrointestinal hemorrhage, which can be increased by antiplatelet agents, anticoagulants (AC) and/or novel oral anticoagulants (NOACs) (ie. apixaban, ...
متن کامل[Removal of bile duct stones by endoscopic papillary balloon dilatation (EPBD) of papilla of Vater].
胆嚢胆管結石症の治療においては従来開腹による胆 嚢摘出術および総胆管切石術が行われてきたが,近 年, 内視鏡下手術の著 しい進歩により,胆 嚢結石症 に対 し ては腹腔鏡下胆嚢摘出術(LC)が 標準手術 として確立 された1.LCは 開腹手術 に比べて,創 が小 さく,患者の 術後疼痛 も軽度で,術 後のquality of lifeの改善が明 らかである. LCの 発達にともない,総 胆管結石症に対しても開 腹手術以外の内視鏡的治療が行われることが多 くなっ てきた.胆 嚢結石症 をともなう場合には,LCと 同時に 腹腔鏡下 に結石摘出術 を行う方法 とLCと は別 に経乳 頭的に内視鏡にて総胆管結石を摘出する方法がある. 腹腔鏡下に結石を摘出する方法 としては腹腔鏡下総胆 管切開切石術 あるいは腹腔鏡下 経胆 嚢管的砕石術 (LTCL)が あるが,手 術操作の難易度が高 く手術時...
متن کاملTwenty-Second versus Sixty-Second Dilation Duration in Endoscopic Papillary Balloon Dilation for the Treatment of Small Common Bile Duct Stones: A Prospective Randomized Controlled Multicenter Trial
BACKGROUND/AIMS Endoscopic papillary balloon dilation (EPBD) has been advocated as an alternative therapy to endoscopic sphincterotomy for the treatment of common bile duct (CBD) stones. However, there is no established consensus on the optimal balloon dilation duration (BDD). We prospectively evaluated the efficacy and post-endoscopic retrograde cholangiopancreatography (ERCP) complications be...
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ژورنال
عنوان ژورنال: Clinical Endoscopy
سال: 2015
ISSN: 2234-2400,2234-2443
DOI: 10.5946/ce.2015.48.1.6