Clinical Research About Small Endoscopic Sphincterotomy And Papillary Large Balloon Dilation For Bile Duct Stones

The common bile duct stones clinical common disease, EST, EPBD.Technology to achieve the aspirations of the minimally invasive treatmentof common bile duct stones, but is also accompanied by intestinalperforation, bleeding, postoperative pancreatitis, cholangitis, and otherrecent concurrentdisease and recurrent cholangitis, the risk ofcholangiocarcinoma increased risk of long-term complications. In thisstudy, the nipple sphincter small incision joint nipple balloon dilatationfor the treatment of common bile duct stones.ObjectiveThis study investigated the efficacy of application of nipplesphincter small incision joint papillary large balloon dilatation treatmentof common bile duct stones.MethodsResultsEST group and EST+EPLBD group were57cases (95%) and58cases (96.6%) successfully take the net stones, which have55cases(91.6%) and56cases (93.3%) for a complete, mechanical lithotripsyapplicationrates were9(22.5%) and17(42.5%). The overall incidence of hyperamylasemia, pancreatitis, bleeding, perforation and othercomplications after surgery were10%and6.6%, with no deaths.ConclusionEndoscopic papilla sphincter joint EPBD small incision surgery,reach and EST the same stone effect and compensate for the deficienciesof the EPBD, reduce the incidence of pancreatitis was significantly lowercompared to the pure EST bleeding risk, and, as far as possible, toretainduodenal papilla sphincter function, this approach combines theadvantages of EST and EPBD, in terms of efficacy, safety and reducecomplications, and achieved good results, easy to spread.