Document Detail

Endoscopic papillary balloon dilation in cirrhotic patients: removal of common bile duct stones without sphincterotomy.
MedLine Citation:
PMID:  8934088     Owner:  NLM     Status:  MEDLINE    
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.
T Kawabe; Y Komatsu; M Tada; N Toda; M Ohashi; Y Shiratori; M Omata
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Endoscopy     Volume:  28     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-02-27     Completed Date:  1997-02-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  694-8     Citation Subset:  IM    
Second Dept. of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
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MeSH Terms
Ampulla of Vater
Balloon Dilatation*
Gallstones / complications,  radiography,  therapy*
Liver Cirrhosis / complications*
Sphincterotomy, Endoscopic

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