Endoscopic Balloon Dilation for Large Bile Duct Stones
Author Information
Author(s): Chan Hoi-Hung, Lai Kwok-Hung, Lin Chiun-Ku, Tsai Wei-Lun, Wang E-Ming, Hsu Ping-I, Chen Wen-Chi, Yu Hsien-Chung, Wang Huay-Min, Tsay Feng-Woei, Tsai Cheng-chung, Chen I-Shu, Chen Yu-chia, Liang Huei-Lung, Pan Huay-Ben
Primary Institution: Kaohsiung Veterans General Hospital
Hypothesis
Is endoscopic papillary large balloon dilation alone effective for treating large common bile duct stones?
Conclusion
Endoscopic papillary large balloon dilation alone is simple, safe, and effective for treating large common bile duct stones in older patients.
Supporting Evidence
- The final success rate of complete retrieval of stones was 92.7%.
- There were 39 patients (15.8%) who required mechanical lithotripsy.
- Only 3 patients (1.2%) experienced adverse events.
Takeaway
Doctors can use a big balloon to help remove stones from the bile duct without needing to cut anything, and it works well for older patients.
Methodology
The study reviewed 247 patients treated with large balloon dilation alone for large common bile duct stones, recording success rates and adverse events.
Potential Biases
Potential biases include selection bias and loss to follow-up.
Limitations
The study is retrospective, lacks standard follow-up, and may underestimate complications.
Participant Demographics
Mean age of participants was 71.2 years, with most having comorbidities.
Statistical Information
P-Value
0.036
Statistical Significance
p = 0.036
Digital Object Identifier (DOI)
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