Long-term recurrence of bile duct stones after endoscopic papillary large balloon dilation with sphincterotomy: 4-year extended follow-up of a randomized trial

Abstract

EPLBD + EBS is associated with a low rate of long-term CBD stone recurrence. However, the risk is significantly higher in patients with a more dilated CBD.

Endoscopic papillary large balloon dilation and endoscopic papillary balloon dilation both without sphincterotomy for removal of large bile duct stones: A propensity‐matched analysis

“…Although short‐term outcomes such as early adverse events and effectiveness of stone removal were reportedly not different between EPLBD with and without EST, to date, there have been no comparative studies on the long‐term outcomes of EPLBD with and without EST. Our study results suggested that long‐term outcomes after EPLBD without EST appeared comparable to those of EPLBD with EST in the previous studies . Omission of EST prior to EPLBD might be simpler and more cost‐effective, but there are some concerns about potential risks of PEP.…”

“…The propensity score of undergoing EPLBD without EST or EPBD was calculated using a multivariable logistic regression model. Bile duct diameter and gallbladder status were previously reported as risk factors for stone recurrence after EPLBD or EPBD . Furthermore, number of stones could determine whether to carry out EPLBD or EPBD.…”

“…The potential advantage of EPLBD without EST over EPLBD with EST is a low risk of hemorrhage or perforation, lower cost, shorter procedure time, and possibility of preservation of sphincter function. However, long‐term outcomes after EPLBD without EST have been little investigated . Therefore, we conducted this retrospective study to compare short‐ and long‐term outcomes of EPLBD without EST and EPBD after endoscopic removal of LBDS.…”

Oddi's Sphincter Macrodilation or Sphincteroplasty in the Treatment of the Large Bile Duct Stone

“…In our study, the complication rate was 6.8% only in the form of bleeding without pancreatitis or perforation. The latter remains the most severe but rare: 7 perforations (0.40%) have been reported in the literature [25]. The presence of distal stenosis of the common bile duct appears to be an independent risk factor for perforation and could be considered as a contraindication to sphincteroplasty.…”

La SMSO (Sphinctérotomie avec macrodilatation du sphincter d’Oddi) dans le traitement des gros calculs de la voie biliaire principale : Expérience de l’Hôpital Militaire de Rabat (Maroc)

“…Dans notre série, le taux de complications était de 6,2 %s ous forme seulement de saignement minime des berges sans pancréatite ni perforation. Cette dernière reste la plus grave mais rare :7p erforations (0,4 %) ont été rapportésd ans la littérature (dans 31 études) [23]. La présence d'une sténose distale de la VBP semble être un facteur de risque indépendant de perforation et pourrait être considéréec omme une contre indication relatived el aS MSO [24].…”