https://scholars.lib.ntu.edu.tw/handle/123456789/620814
標題: | Comparable Long-term Outcomes of 1-Minute vs 5-Minute Endoscopic Papillary Balloon Dilation for Bile Duct Stones | 作者: | YU-TING KUO HSIU-PO WANG Chang, Chi-Yang Leung, Joseph W Chen, Jiann-Hwa Tsai, Ming-Chang WEI-CHIH LIAO |
關鍵字: | Endoscopy; Gallstone; Outcome Comparison; Sphincteroplasty | 公開日期: | 十一月-2017 | 出版社: | ELSEVIER SCIENCE INC | 卷: | 15 | 期: | 11 | 起(迄)頁: | 1768 | 來源出版物: | Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association | 摘要: | Endoscopic papillary balloon dilation (EPBD) is an alternative to endoscopic sphincterotomy for choledocholithiasis. Unlike endoscopic sphincterotomy, EPBD preserves biliary sphincter function, reducing long-term risk of recurrent choledocholithiasis by 50%. Guidelines recommend that duration of EPBD exceeds 2 minutes, to adequately loosen the sphincter and reduce risks of failed stone extraction and post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. However, it is unclear whether this long duration of EPBD impairs sphincter function and negates the long-term benefit of EPBD. We performed a randomized controlled trial to determine whether long-duration (>1 minute) EPBD increases the risk of subsequent choledocholithiasis and hepatobiliary complications compared with short-duration EPBD (<1 minute). |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/620814 | ISSN: | 1542-3565 | DOI: | 10.1016/j.cgh.2017.05.049 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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