Sixty-versus thirty-seconds papillary balloon dilation after sphincterotomy for the treatment of large bile duct stones: A randomized controlled trial

作者：Paspatis Gregorios A^*; Konstantinidis Konstantinos; Tribonias Georgios; Voudoukis Evangelos; Tavernaraki Aikaterini; Theodoropoulou Angeliki; Chainaki Irene; Manolaraki Maria; Chlouverakis Gregorios; Vardas Emmanouil; Paraskeva Konstantina

来源：Digestive and Liver Disease, 2013, 45(4): 301-304.

DOI：10.1016/j.dld.2012.10.015

• Balloon dilation
• Endoscopic biliary sphincterotomy
• ERCP

Background: Endoscopic biliary sphincterotomy followed by endoscopic papillary balloon dilation is a promising method for large stones. However, there are no data on the optimal duration of papillary balloon dilation after a biliary sphincterotomy. %26lt;br%26gt;Aims: To compare the effectiveness and complications of the endoscopic papillary balloon dilation for 60 s versus 30s after endoscopic biliary sphincterotomy. %26lt;br%26gt;Methods: A total of 124 patients with bile duct stones, submitted for endoscopic biliary sphincterotomy plus endoscopic papillary balloon dilation, were prospectively randomized to either the 60-s dilation group (G60, n = 60) or the 30-s dilation group (G30, n = 64). %26lt;br%26gt;Results: The complete removal of bile duct stones was similar: group G30, 55/64 (86%) versus group G60, 51/60 (85%); p = 0.9. The rates of post-endoscopic retrograde cholangio-pancreatography pancreatitis were also similar: 2 (3.1%) in group G30 versus 2 (3.3%) in group G60, p = 0.9. Post-procedural bleeding occurred in 2 cases (3.1%) in group G30 versus 4 (6.6%) in group G60, (p = 0.17). Two perforations of moderate severity were observed, one in each group. %26lt;br%26gt;Conclusions: 30-s papillary balloon dilation, performed after endoscopic biliary sphincterotomy for the management of bile duct stones, was equally effective to the 60-s papillary balloon dilation.

• 出版日期2013-4