| Endoscopic papillary balloon dilation in cirrhotic patients: removal of common bile duct stones without sphincterotomy. | |
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MedLine Citation:
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PMID: 8934088 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND STUDY AIMS: Endoscopic papillary balloon dilation (EPBD) is a less invasive alternative to endoscopic sphincterotomy (EST). This study reviews a series of cirrhotic patients with bile duct stones who were treated with EPBD. PATIENTS AND METHODS: EPBD was used to remove common bile duct stones in nine cirrhotic patients (one in Child-Pugh grade A, four in grade B, and four in grade C). After the papilla was dilated with balloon-tipped catheter, the stones were removed with a retrieval basket catheter or a retrieval balloon, or both. Mechanical lithotripsy was required in two patients with stones of more than 1 cm in diameter. RESULTS: Clearance of the common bile duct was achieved in all patients without any serious complications such as hemorrhage or perforation. CONCLUSIONS: These results suggest that EPBD is a safe and effective technique for the treatment of common bile duct stones in patients with liver cirrhosis. |
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Authors:
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T Kawabe; Y Komatsu; M Tada; N Toda; M Ohashi; Y Shiratori; M Omata |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Endoscopy Volume: 28 ISSN: 0013-726X ISO Abbreviation: Endoscopy Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-02-27 Completed Date: 1997-02-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0215166 Medline TA: Endoscopy Country: GERMANY |
Other Details:
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Languages: eng Pagination: 694-8 Citation Subset: IM |
Affiliation:
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Second Dept. of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ampulla of Vater Balloon Dilatation* Female Gallstones / complications, radiography, therapy* Humans Liver Cirrhosis / complications* Male Sphincterotomy, Endoscopic |
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