Netinatsunton N Author

Editorial Open Access

Contribution of Surgical Procedures Including Insertions of Implants, Stents, and Pacemakers to Longevity Prospective Controlled Randomized Study of Large-Balloon-Dilatation Versus Mechanical Lithotripsy for Large Bile Duct Stone

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Netinatsunton N

The removal of large common bile duct stones (CBDS) is usually done by endoscopic sphincterotomy (EST) supplemented bymechanical lithotripsy (ML) Previous reports showed that EST with ML (EST-ML) had stone clearance rate of 38% to 73.5% . Endoscopic papillary dilatation using a large balloon (LBD) after EST (EST-LBD) for removal of CBDS was first reported in 2003. Since then, many randomized control trials showed EST-LBD efficacy of 83 to 100%.There was limited study comparing EST-LBD and EST-ML. One randomized study compared EST-LBD with EST-ML in CBDS removal in 90 patients with 12- 20 mm stone and showed comparable stone clearance rate (97.7 vs. 91.1%, P=0.36). Unfortunately, the studywas terminated prematurely due to a significant higher cholangitis in EST-ML. The aim of this study ... view more»

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