The Korean journal of internal medicine

  • 제25권3호
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  • Pages.239-245
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  • 2010
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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DOI QR코드

DOI QR Code

The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones

  • Bang, Byoung-Wook (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Jeong, Seok (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Don-Haeng (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Jung-Il (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Jin-Woo (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kwon, Kye-Sook (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Hyung-Gil (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Shin, Yong-Woon (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Young-Soo (Division of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine)
  • 투고 : 2010.01.18
  • 심사 : 2010.04.16
  • 발행 : 2010.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Endoscopic papillary balloon dilation (EPBD) is a safe and effective method for the treatment of choledocholithiasis, but previous studies have rarely reported the appropriate ballooning time (BT). We prospectively evaluated the safety and efficacy of EPBD according to BT in patients undergoing bile duct stone removal. Methods: Seventy consecutive patients with bile duct stones were randomly assigned to receive EPBD with either conventional (n = 35, 60 seconds) or short (n = 35, 20 seconds) BT. Results: EPBD alone achieved complete bile duct clearance in 67 patients (long BT, n = 33, 94.3%; short BT, n = 34, 97.1%; p = 0.808). We also found no significant difference in the rate of complete duct clearance, including procedures that used mechanical lithotripsy, between the long and short BT groups (97.1% vs. 100%; p = 0.811). Mild pancreatitis was noted in four (11.4%) patients in the long BT group and two (5.7%) patients in the short BT group, but this incidence was not significantly different. Conclusions: The study showed that EPBD using both 20-sec and 60-sec BTs is safe and effective for the treatment of bile duct stones. Short and long BTs produced comparable outcomes.

키워드

과제정보

연구 과제 주관 기관 : Inha University

참고문헌

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피인용 문헌

  1. A Comparison Study of Ballooning Time between Immediate and Conventional Deflation Method of Endoscopic Papillary Large Balloon Dilation for the Extraction of Difficult Bile Duct Stone vol.19, pp.4, 2010, https://doi.org/10.15279/kpba.2014.19.4.182
  2. Twenty-Second versus Sixty-Second Dilation Duration in Endoscopic Papillary Balloon Dilation for the Treatment of Small Common Bile Duct Stones: A Prospective Randomized Controlled Multicenter Trial vol.48, pp.1, 2010, https://doi.org/10.5946/ce.2015.48.1.59
  3. Endoscopic Papillary Balloon Dilation/Endoscopic Papillary Large Balloon Dilation vol.24, pp.4, 2010, https://doi.org/10.15279/kpba.2019.24.4.175