WebApr 1, 2024 · In the EST with EPLBD group, mid-incision EST (incision to the mid-portion of the papilla) was performed before balloon dilation using a pull-type sphincterotome (KD-6Q, Olympus, Tokyo, Japan) following a standard method. After papillary incision, EPLBD was performed as described above. All patients were kept under observation in the hospital ... WebEPLBD without EST was carried out using a 12- to 20-mm balloon catheter (CRE wire-guided balloon dilator [12–15 mm, 15–18 mm or 18–20 mm]; Boston Scientific Japan or Giga [10–12, 13–15, 16–18 mm]; Century Medical). The balloon was inflated gradually with diluted contrast medium under endoscopic and fluoroscopic guidance and was ...
EST+EPBD治疗胆总管结石的效果分析_百度文库
WebMay 16, 2015 · Endoscopic sphincterotomy (EST) is currently recognized as the primary endoscopic treatment for common bile duct stones. However, it is difficult to remove multiple (≥3) or large (≥15 mm) common bile duct stones with EST alone. Recently, EST plus endoscopic papillary large-balloon dilation (EPLBD) was reported to be an effective … WebAug 30, 2024 · Results The ESLBD and EPLBD groups showed similar success rates of stone clearance (97.27% vs 96.00%). However, the use of lithotripsy and the incidence … symposium sanidad vegetal
Endoscopic Treatment of Large Bile Duct Stones: A ... - ResearchGate
WebFeb 7, 2024 · EPLBD with limited EST is recommended over EPLBD without EST as per the available guidelines because EPLBD with limited EST can improve the stone clearance rate in the first endoscopic... WebOct 24, 2024 · EPLBD combined with EST can be used as the alternative to EML after EST for the removal of large or difficult bile duct stones, reducing the need for EML because it allows a larger biliary orifice to be achieved than full-incision EST. WebJul 9, 2024 · Hakuta et al. [33] also reported that EPLBD without EST increased late biliary complications compared with EPBD, suggesting the impairment of Oddi function. It appears that EPLBD with a relatively large balloon (≥12 mm) could permanently disrupt sphincter function and cause long-term adverse events in the same manner as EST which is … sympla jk iguatemi