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• W2053137982 abstract "BACKGROUND/AIM: The long-term complications of endoscopic sphincterotomy (ES) are still unknown. Younger patients having longer life expectancy are risky for developing late complications after ES. Secondary CBD stones are relatively small stones in normal duct and sphincter. These healthy sphincters should be preserved, if possible. Endoscopic papillary balloon dilation (EPBD) is a safe and effective sphincter preservation technique for endoscopic stone removal. We conducted a retrospective study to investigate outcomes and safety after EPBD for removal of secondary CBD stones in patients younger than 40 years of age. METHODS: Inclusion criteria was CBD stones combined with GB stone, Age < 41 and maximum diameter of bile duct stone <13 mm. Between 1997 and 2002, 32 patients with 2ndary CBD stones were removed after EPBD (EPBD group, mean age: 35.6 years). Between 1993 and 1997, 2ndary CBD stones with 28 patients were treated using ES (ES group, mean age: 37.2 years). Mean maximum diameter of stone was 7.2 mm (range: 4-12). Maximum diameter of CBD was 9.3 mm (range: 5-14). The success rates and complications were compared between the two groups. RESULTS: 1) EPBD and ES were successfully performed in all patients. Complete endoscopic clearance of the bile duct was achieved in all patients. 2) After a single endoscopic session, all stones were removed from 30 (93.7%) patients who underwent EPBD and in 27 (96.4%) patients with ES. For the complete removal of stones, an average of 1.1 endoscopic sessions was required for both groups. 3) Mechanical lithotripsy was needed to fragment stones in 2 (6.3%) EPBD procedures, but not necessary after ES. 4) Although amylase level was elevated in 14 (43.7%) EPBD patients, mild pancreatitis developed in only two (6.2%) patients. Two cases (6.2%) of bleeding and one case of mild pancreatitis occurred in ES group. CONCLUSION: Endoscopic papillary balloon dilation is a safe and effective sphincter preservation method for the removal of secondary bile duct stones in young patients who will undergo laparoscopic cholecystectomy." @default.
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• W2053137982 date "2004-04-01" @default.
• W2053137982 modified "2023-09-26" @default.
• W2053137982 title "Endoscopic Papillary Balloon Dilation for Secondary Bile Duct Stones in Young Patients" @default.
• W2053137982 doi "https://doi.org/10.1016/s0016-5107(04)00913-7" @default.
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