Еndoscopic papillosphincterotomy with balloon dilation in treatment of patients with coldocholithiasis and parapapillary diverticule (balloon dilation for coldocholithiasis)
https://doi.org/10.24884/2072-6716-2021-22-2-50-54
Abstract
Performing a limited papillosphincterotomy, supplemented by endoscopic balloon dilation, and only endoscopic papillosphincterotomy in patients with choledocholithiasis and parapapillary diverticulum resulted in complete lithoextraction in 92.9% of cases, and adequate drainage of the common bile duct in 100% and 96.4% of cases, respectively. The use of balloon dilation after limited papillosphincterotomy definitely reduces the need for mechanical lithotripsy and the number of postoperative complications.
About the Authors
I. M. MusinovRussian Federation
Igor M. Musinov
St. Petersburg
A. E. Chikin
Russian Federation
Alexander E. Chikin
St. Petersburg
V. A. Koltsov
Russian Federation
Vladimir A. Koltsov
St. Petersburg
B. A. Apereche
Russian Federation
Boris S. Apereche
St. Petersburg
References
1. Clemente J. C. Comparison between endoscopic sphincterotomy vs endoscopic sphincterotomy associated with balloon dilation for removal of bile duct stones: A systematic review and meta-analysis based on randomized controlled trials // World J. Gastrointest. Endosc. 2018. Vol. 10, No 8. P. 130–144.
2. Chen L. Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography // Eur. J. Gastroenterol. Hepatol. 2017. Vol. 29, No 1. P. 105–111.
3. Doshi B. Current endoscopic strategies for managing large bile du ct stones // Dig. Endosc. 2018. Vol. 30, No 1. P. 59–66.
4. Hu Y., Kou D. Q., Guo S. B. The influence of periampullary diverticula on ERCP for treatment of common bile duct stones // Sci. Rep. 2020. Vol. 10, No 4. P. 1–9.
5. Galperin E. I. Classification of the obstructive jaundice severity. Annals surgical hepatology. 2012, Vol. 17, No 2, pp. 26–33 (In Rus s.).
6. Boix J. Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography: a proposed classification of periampullary duodenal diverticula // Surg. Laparosc. Endosc. Percutan. Tech. 2006, Vol. 16, P. 208–211.
Review
For citations:
Musinov I.M., Chikin A.E., Koltsov V.A., Apereche B.A. Еndoscopic papillosphincterotomy with balloon dilation in treatment of patients with coldocholithiasis and parapapillary diverticule (balloon dilation for coldocholithiasis). EMERGENCY MEDICAL CARE. 2021;22(2):50-54. (In Russ.) https://doi.org/10.24884/2072-6716-2021-22-2-50-54