Back to Search
Start Over
Balloons larger than 15 mm can increase the risk of adverse events following endoscopic papillary large balloon dilation
- Source :
- Journal of gastroenterology and hepatologyReferences. 34(8)
- Publication Year :
- 2019
-
Abstract
- Background and aim Although endoscopic papillary large balloon dilation (EPLBD) has been widely used to facilitate the removal of difficult common bile duct stones, however, the outcomes have not yet been investigated in terms of the diameter of the balloon used. We aimed to compare the clinical outcomes between EPLBD using smaller (12-15 mm, S-EPLBD) and larger balloons (> 15 mm, L-EPLBD). Methods Six hundred seventy-two patients who underwent EPLBD with or without endoscopic sphincterotomy for common bile duct stone removal were enrolled from May 2004 to August 2014 at four tertiary referral centers in Korea. The outcomes, including the initial success rate, the success rate without endoscopic mechanical lithotripsy, the overall success rate, and adverse events between S-EPLBD and L-EPLBD groups, were retrospectively compared. Results The initial success rate, the success rate without mechanical lithotripsy, the overall success rate, and the overall adverse events were not significantly different between the two groups. The rate of severe-to-fatal adverse events was higher in the L-EPBLD group than in the S-EPLBD group (1.6% vs 0.0%, 0.020). One case of severe bleeding and two cases of fatal perforation occurred only in the L-EPLBD group. In the multivariate analysis, the use of a > 15-mm balloon was the only significant risk factor for severe-to-fatal adverse events (>0.005, 23.8 [adjusted odds ratio], 2.6-214.4 [95% confidence interval]). Conclusions L-EPLBD is significantly related to severe-to-fatal adverse events compared with S-EPLBD for common bile duct stone removal.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Perforation (oil well)
Lithotripsy
Balloon
Risk Assessment
03 medical and health sciences
Sphincterotomy, Endoscopic
0302 clinical medicine
Risk Factors
Republic of Korea
medicine
Humans
Adverse effect
Aged
Retrospective Studies
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Hepatology
Common bile duct
business.industry
Gastroenterology
Odds ratio
Equipment Design
Middle Aged
Dilatation
Confidence interval
Surgery
medicine.anatomical_structure
Choledocholithiasis
Treatment Outcome
030220 oncology & carcinogenesis
Balloon dilation
030211 gastroenterology & hepatology
Female
business
Subjects
Details
- ISSN :
- 14401746
- Volume :
- 34
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of gastroenterology and hepatologyReferences
- Accession number :
- edsair.doi.dedup.....b5976fa06966b5a50dac98cdc7aea272