Bile duct stones Digestive System Cholelithiasis
Conditions
Interventions
Full length endoscopic sphincterotomy (ES) followed by 60-seconds versus 30-seconds balloon dilation (BD) for cases with large unretrieved stones, multiple stones and tapering or tortuosity of distal
Sponsors
Venizelio Hospital (Greece)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with bile duct stones= 12mm (transverse diameter of the largest stone) that could not be extracted using a standard balloon catheter in the common bile duct
Exclusion criteria
Exclusion criteria: 1. Need for needle knife pre-cutting 2. Selective bile duct cannulation achieved after more than two accidental pancretograms or more than two insertions of the guidewire in the pancreatic duct 3. Cases with bleeding tendency (taking anticoagulant therapy, platelet count of less than 100.000/mm3, or prothrombin time more than 30% above the control 4. Billroth II or Roux-en ?Y reconstruction 5. Bile duct stones with diameter =20mm 6. Strictures 7. Patients undergoing anticoagulant or antiplatelet therapy for non-critical problems, such as cardiovascular and cerebral disorders, were instructed to discontinue the use of these types of medication at least 7 days before the endoscopic procedure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Our data showed that 30-sec BD after ES for the management of bile duct stones was equally effective as 60-sec. Therefore, there is no need to exceed 30 seconds when removing stones from bile ducts with balloon dilation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Study showed that the rate of post-procedure complications was not different between the two groups | — |
Countries
Greece
Outcome results
None listed