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. 1996 Oct;28(8):694-8.
doi: 10.1055/s-2007-1005579.

Endoscopic papillary balloon dilation in cirrhotic patients: removal of common bile duct stones without sphincterotomy

T Kawabe  1 , Y Komatsu, M Tada, N Toda, M Ohashi, Y Shiratori, M Omata
Affiliations

Endoscopic papillary balloon dilation in cirrhotic patients: removal of common bile duct stones without sphincterotomy

T Kawabe et al. Endoscopy. 1996 Oct.

Abstract

Background and study aims: Endoscopic papillary balloon dilation (EPBD) is a less invasive alternative to endoscopic sphincterotomy (EST). This study reviews a series of cirrhotic patients with bile duct stones who were treated with EPBD.

Patients and methods: EPBD was used to remove common bile duct stones in nine cirrhotic patients (one in Child-Pugh grade A, four in grade B, and four in grade C). After the papilla was dilated with balloon-tipped catheter, the stones were removed with a retrieval basket catheter or a retrieval balloon, or both. Mechanical lithotripsy was required in two patients with stones of more than 1 cm in diameter.

Results: Clearance of the common bile duct was achieved in all patients without any serious complications such as hemorrhage or perforation.

Conclusions: These results suggest that EPBD is a safe and effective technique for the treatment of common bile duct stones in patients with liver cirrhosis.

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