Endoscopic Sphincterotomy With Balloon Dilatation Versus Sphincterotomy Alone For Common Bile Duct Stones Removal

Launched by HOSPITAL UNIVERSITI SAINS MALAYSIA · Nov 25, 2022

Keywords

ClinConnect Summary

Endoscopic sphincterotomy (EST) is most widely used during endoscopic retrograde cholangiopancreatography (ERCP) to remove common bile duct (CBD) stone and considered as standard therapy for treatment of choledocholithiasis. However, in view of EST requires an adequate incision on major duodenal papilla to achieve biliary cannulation, it can potentially cause damage to biliary sphincter during the procedure and potentially increased risk of some complications such as bleeding and biliary reflux. This procedure carries risk of complications such as haemorrhage, perforation, and long-term eff...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patient's age 18 and above
• • 2. Patient with CBD stone documented on imaging studies
• Exclusion Criteria:
• • 1. CBD stone size more than 15mm
• • 2. CBD stone number more than 3
• • 3. Concurrent hepatobiliary tumour
• • 4. Intrahepatic stone
• • 5. Bleeding tendencies: coagulopathy, thrombocytopenia, patient on anticoagulant medication
• • 6. Patient in sepsis/ Cholangitis patient
• • 7. Patient with acute pancreatitis
• • 8. Prior history of Bilroth II or Roux-en-y surgery