Endoscopic balloon dilatation versus endoscopic sphincterotomy for the removal of bile duct stones: a prospective randomised trial

Vlavianos, P.; Chopra, K.; Mandalia, S.; Anderson, M.; Thompson, J.; Westaby, D.
August 2003
Gut;Aug2003, Vol. 52 Issue 8, p1165
Academic Journal
Background: Endoscopic balloon dilatation (EBD) of the sphincter of Oddi has been proposed as an alternative therapy with possible advantages, as compared with endoscopic sphincterotomy (ES), for removal of bile duct stones. Patients and methods: In a randomised study, we compared the efficacy and complication rate of the two techniques in 202 patients with common bile duct stones. Patients were followed up for 12 months. Results: A total of 103 patients were randomised to the EBD group and 99 to the ES group. Overall duct clearance was 87.1% and did not differ between the two groups (EBD 87.4%; ES 86.9%). The complication rate at 24 hours was 6.8% in the EBD group and 3.0% in the ES group (NS). Complications during follow up were 11.7% and 15.2% respectively (NS). A multivariate logistic regression analysis showed only the size of the largest stone to be predictive of success for either technique. Conclusion: Endoscopic balloon dilatation offers no significant advantage over the well established technique of endoscopic sphincterotomy for the removal of bile duct stones.


Related Articles

  • GI highlights from the literature. Aitha, Guruprasad P. // Gut;Aug2010, Vol. 59 Issue 8, p1141 

    The article discusses a research study on the occurrence of sphincter of Oddi dysfunction in patients with previously normal sphincter of Oddi manometry (SOM) studies. It references a study by M. A. Khashab and colleagues, published in a 2010 issue of the journal "Endoscopy." Patients considered...

  • ERCP AND ENDOSCOPIC SPHINCTEROTOMY- INDUCED PANCREATITIS. Sherman, Stuart // American Journal of Gastroenterology;Mar1994, Vol. 89 Issue 3, p303 

    Comments on the endoscopic retrogade cholangio pancreatography (ERCP) and endoscopic sphincterotomy-induced pancreatitis. Types of potential injury during ERCP and endoscopic sphincterotomy; Factors that are thought to contribute to pancreatitis; Elements that may release cytokines from...

  • TYPE I BILIARY DYSKINESIA: MORE QUESTIONS ABOUT ETIOLOGY. Lawson, J. Mark // American Journal of Gastroenterology;Oct1994, Vol. 89 Issue 10, p1912 

    Discusses research being done on clinical and manometric profile of type I sphincter of Oddi patients. Reference to a study by P. Rolny et al published in a 1993 issue of "Gastrointestinal Endoscopy"; Examples of Oddi dysfunction; Method used to evaluate the patient in the study.

  • Motor Pattern of the Sphincter of Oddi in Patients with Bilioenteric Shunt: A Manometric Study. Ponce, Julio; Garrigues, Vicente; Pertejo, Virginia; Sala, Teresa; Berenguer, Joaquin // American Journal of Gastroenterology;Oct1988, Vol. 83 Issue 10, p1115 

    An endoscopic biliary manometry was performed on 11 patients with a surgical bilioenteric shunt--choledochoduodenostomy--and no pressure gradient between common bile duct and duodenum. Basal pressure and frequency of the phasic waves of the sphincter of Oddi were significantly higher in these...

  • Common Bile Duct Sphincter of Oddi Stenting in Patients with Suspected Sphincter Dysfunction. Goff, John S. // American Journal of Gastroenterology;Apr1995, Vol. 90 Issue 4, p586 

    Objectives: Some patients seem to have symptoms or other findings that imply that they have sphincter of Oddi dysfunction, but when the sphincter pressure is measured, the basal resting pressure is not greater than 40 mm Hg. Because empiric sphincterotomy can alleviate some of these patients'...

  • Sphincter of Oddi Dysfunction: How Is It Diagnosed? How Is It Classified? How Do We Treat It Medically, Endoscopically, and Surgically? Nakeeb, Attila // Journal of Gastrointestinal Surgery;Sep2013, Vol. 17 Issue 9, p1557 

    No abstract available.

  • Morbidity of simple cholecystectomy and cholecystectomy with transduodenal sphincteroplasty. Antrum, Ralph M.; Hall, Robert // Journal of the Royal Society of Medicine;Feb1985, Vol. 78 Issue 2, p106 

    Exploration of the common bile duct via transduodenal sphincteroplasty is thorough and provides an opportunity for the natural passage of retained calculi. However, this procedure destroys both the sphincter ampulla and sphincter choledochus, the sequelae of which are unknown. Fifty patients who...

  • Sphincter of Oddi dysfunction. Bhattacharya, Satya // Pulse;Feb2016, p63 

    The article discusses the sphincter of Oddi dysfunction, a clinical syndrome of pain, biochemical abnormalities and duct dilatation caused by the abnormality of the sphincter of Oddi. Topics discussed include the clinical types of SOD such as biliary-type SOD and pancreatic-type SOD as well as...

  • ULCERUL DUODENAL HEMORAGIC -- OPÅ¢IUNI TERAPEUTICE. Poroch, V.; Luncă, S. // Jurnalul de Chirurgie;2009, Vol. 5 Issue 4, p370 

    Actual treatment of bleeding duodenal ulcer is most frequently medical but also surgical. The aim of this study is to assess the factors that influence the outcomes for a group of 67 patients suffering of bleeding duodenal ulcer. Out of 67 patients considered in this study, 53 were men (79.1%)...


Read the Article


Sign out of this library

Other Topics