Endoscopic sphincterotomy or balloon dilation treatment of common bile duct stones.docVIP

 PAGE \* MERGEFORMAT 20 Endoscopic sphincterotomy or balloon dilation treatment of common bile duct stones Objective: To evaluate endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilatation (EPBD) common bile duct stones safety and efficacy. : The EST and EPBD were treated 328 cases of common bile duct stones, of which 174 cases of a single, stones, two stones in 112 cases, three or more stones in 42 cases (up to 1 cases of 20 stones). For the lt;10mm stones using EPBD treated,gt; 11mm use EST. Results: 323 cases of treatment success, accounting for 98.5%, failure in 5 cases. Of which 98 cases were discharged stones after endoscopic treatment, 207 cases with basket or balloon stone to take out stones, 14 patients discharged after the use of crushed stone basket stone, 4 cases were removed after shock wave lithotripsy. 22/323 cases after 2 to 3 times again, taking the net after taking stones. 2.5% of the total complications, including gastrointestinal bleeding in 1 case, cholangitis in 4 cases, pancreatitis in 3 patients. Line after 92 cases of gastrointestinal barium meal X-ray examination, 86 patients with biliary no barium reflux, 2 cases of bile duct within the product gas, 4 patients had barium back into the bile duct. Conclusion: EST and EPBD safe, effective, less complications and the treatment of common bile duct stones, one important means. Objective: To assess the safety and curative effect of endoscopic sphincterotomy (EST) and papillary balloon dilatation (EPBD) for choledocholithiasis.Methods: 328 patients with choledocholithiasis were given EST or EPBD, including single biliary stone in 174 cases, two stones in 112 cases and three stones in 42 cases (one case with 20 stones). cases with biliary stones less than 10mm were given EPBD and the cases with biliary stones larger than 11mm were given EST treatment.Results: The treatment of EST and EPBD were successful in 323 cases (98.5%) and failed in 5 cases (1.5%).