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• W4386647849 abstract "To compare endoscopic retrograde cholangiopancreatography using balloon-assisted endoscope (BE-ERCP) with endoscopic ultrasonography-guided antegrade treatment (EUS-AG) for removal of common bile duct (CBD) stones in patients with Roux-en-Y (R-Y) gastrectomy.Consecutive patients with R-Y gastrectomy undergoing BE-ERCP or EUS-AG for CBD stones in 16 centers were retrospectively analyzed.BE-ERCP and EUS-AG were performed in 588 and 59 patients, respectively. Baseline characteristics were similar, except for CBD diameter and angle. Technical success rate was 83.7% vs. 83.1% (P = 0.956), complete stone removal rate was 78.1% vs. 67.8% (P = 0.102), and early adverse event rate was 10.2% vs. 18.6% (P = 0.076) in BE-ERCP and EUS-AG. The mean number of endoscopic sessions was smaller in BE-ERCP (1.5±0.8 vs. 1.9±1.0 sessions, P = 0.01), whereas the median total treatment time was longer (90 vs. 61.5 minutes, P = 0.001). Among patients with biliary access, complete stone removal rate was significantly higher in BE-ERCP (93.3% vs. 81.6%, P = 0.009). CBD diameter ≥15-mm (Odds ratio [OR], 0.41) and an angle of CBD <90-degree (OR, 0.39) were negative predictive factors in BE-ERCP, and a stone size ≥10-mm (OR, 0.07) and an angle of CBD <90-degree (OR, 0.07) in EUS-AG. The 1-year recurrence rate was 8.3% in both groups.Effectiveness and safety of BE-ERCP and EUS-AG were comparable in CBD stone removal for patients after R-Y gastrectomy, but complete stone removal after technical success was superior in BE-ERCP." @default.
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• W4386647849 date "2023-09-01" @default.
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• W4386647849 title "ERCP using balloon-assisted endoscope versus EUS-guided treatment for common bile duct stones in Roux-en-Y gastrectomy" @default.
• W4386647849 doi "https://doi.org/10.1016/j.gie.2023.09.001" @default.
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