Endoscopic biliary sphincterotomy (ES) is the standard prelude to duct stone removal; however, it carries moderate risk for both pancreatitis and bleeding and can be challenging to use in some anatomy. Balloon dilation or sphincteroplasty has been used for a number of years to remove small stones, and large-caliber balloon sphincteroplasty (LCBS) after short to moderate sphincterotomy has been shown to reduce the need for lithotripsy techniques when removing large stones. <\/p>\n\n\n\n
The authors of this randomized multicenter study, which included 171 patients, compared the efficacy and safety of ES alone versus LCBS alone for removing large (>10 mm) stones from the common bile duct. Complete duct clearance was more commonly achieved in one session with LCBS than with ES (90.7% vs 78.8%; P<\/em>=.04), and the use of endoscopic lithotripsy was less common with LCBS than with ES (30.2% vs 48.2%; P<\/em>=.02). The rates of both the overall adverse events (9.3% with LCBS vs 9.4% with ES) and procedural pancreatitis (4.7% with LCBS vs 5.9% with ES) were comparable. The total procedural cost was numerically but not statistically lower in the LCBS group ($1442 vs $1661; P<\/em>=.12).<\/p>\n","protected":false},"excerpt":{"rendered":" Endoscopic biliary sphincterotomy (ES) is the standard prelude to duct stone removal; however, it carries moderate risk for both pancreatitis and bleeding and can be challenging to use in some anatomy. Balloon dilation or sphincteroplasty has been used for a number of years to remove small stones, and large-caliber balloon sphincteroplasty (LCBS) after short to … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[2122,2123],"class_list":["post-8881","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-es","tag-lcbs"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8881"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8881"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}