Common bile duct stone-related parameters and their potential prognostic values for stone extraction requiring endoscopic papillary large balloon dilation.

Autor: Wongkanong C; Department of Surgery Pattani Hospital Pattani Thailand., Patumanond J; Center for Clinical Epidemiology & Clinical Statistics, Faculty of Medicine Chiang Mai University Chiang Mai Thailand., Ratanachu-Ek T; Surgical Endoscopy Unit, Department of Surgery Rajavithi Hospital Bangkok Thailand.; Department of Medical Services Ministry of Public Health Bangkok Thailand., Junrungsee S; Clinical Surgical Research Center Chiang Mai University Chiang Mai Thailand.; Department of Surgery, Faculty of Medicine Chiang Mai University Chiang Mai Thailand., Tantraworasin A; Center for Clinical Epidemiology & Clinical Statistics, Faculty of Medicine Chiang Mai University Chiang Mai Thailand.; Clinical Surgical Research Center Chiang Mai University Chiang Mai Thailand.; Department of Surgery, Faculty of Medicine Chiang Mai University Chiang Mai Thailand.
Jazyk: angličtina
Zdroj: JGH open : an open access journal of gastroenterology and hepatology [JGH Open] 2022 Nov 24; Vol. 7 (1), pp. 16-23. Date of Electronic Publication: 2022 Nov 24 (Print Publication: 2023).
DOI: 10.1002/jgh3.12845
Abstrakt: Background and Aim: For difficult common bile duct (CBD) stones, endoscopic sphincterotomy accompanied by endoscopic papillary large balloon dilatation (EPLBD) may be the preferred initial procedure according to the selection criteria. The purpose of this study was to determine the association between CBD stone-related parameters and their potential prognostic values for technically difficult CBD stone extraction requiring EPLBD.
Methods: We retrospectively analyzed the data of 80 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP), endoscopic biliary sphincterotomy, or the aforementioned procedures combined with EPLBD, resulting in successful CBD stone extraction in the first session from January 2018 and December 2021. The association between CBD stone-related parameters and stone extraction requiring EPLBD was analyzed by multivariable risk regression analysis.
Results: In multivariable analysis, the independent predictors of CBD stone extraction that required EPLBD were CBD stones larger than distal CBD diameter by >2 mm (risk ratio [RR] 2.34, 95% CI 1.30-4.19) and the presence of shaped stones (round shape RR 1.69 [95% CI 1.05-2.73]; square shape RR 2.34 [95% CI 1.24, 4.44] vs oval shape).
Conclusion: E ndoscopic CBD stone removal is technically difficult in patients with stones larger than 2 mm in diameter in comparison to the distal CBD diameter or round or square-shaped stones.
(© 2022 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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