Online citations, reference lists, and bibliographies.
← Back to Search

Endoscopic Papillotomy For Common Bile Duct Stones: Factors Influencing The Complication Rate.

J. Boender, G. Nix, M. A. de Ridder, M. van Blankenstein, H. Schütte, J. Dees, J. E. Wilson
Published 1994 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
In a prospective study, the complications observed in 242 consecutive patients after endoscopic sphincterotomy for common bile duct stones were recorded over a period of up to three months. Patients with previous gastric surgery, papillotomy, or additional pancreato-biliary disease other than gallbladder stones were excluded. The overall complication rate was 14%, 74% of these complications being moderate or severe. The complication rate due to cholangitis was higher in (1) the group with retained stones following complete papillotomy and without biliary drainage, and (2) the group with failed precut papillotomy and drainage after cholangiography, both compared to patients with successful drainage (75% vs. 2.6%: p < 0.001 and 40% vs. 2.6%: p = 0.001 respectively). Both pancreatitis and retroperitoneal air leakage occurred in 1.7% of cases. They were more frequently observed in patients with a smaller diameter (< 10 mm) in the distal common bile duct (5.6% vs. 0%: p = 0.007 for pancreatitis, and 2.8% vs. 1.2%; n.s. for perforation) and especially following precut papillotomy (13.0% for pancreatitis and 8.7% for perforation), which had to be performed more often in these patients. Bleeding following sphincterotomy was relatively frequent when the papilla was located at the lower rim of or inside a diverticulum, compared to patients without a diverticulum (16.2% vs. 2.7%: p = 0.004 and 26.7% vs. 2.7%: p < 0.001 respectively). When the papilla was located inside diverticula, both the rate of perforation and bleeding increased following precut papillotomy, compared with standard papillotomy only (33% vs. 0%, n.s., and 33% vs. 22%, n.s.).(ABSTRACT TRUNCATED AT 250 WORDS)



This paper is referenced by
10.1016/j.gie.2015.06.016
International consensus guidelines for endoscopic papillary large-balloon dilation.
T. H. Kim (2016)
10.1007/s00534-010-0362-5
Current status of endoscopic papillary balloon dilation for the treatment of bile duct stones
K. Aiura (2011)
10.2147/CEG.S71539
Association between juxtapapillary diverticulum and acute cholangitis determined using laboratory data
Minoru Tomizawa (2014)
Comparative study between transdermal Glyceryl Trinitrate, Octreotide, and Diclofenac injection in the prevention of post-ERCP pancreatitis
Ehab H. Nashaat (2010)
10.1007/s00464-011-1720-3
Can a small endoscopic sphincterotomy plus a large-balloon dilation reduce the use of mechanical lithotripsy in patients with large bile duct stones?
Tae Hyeon Kim (2011)
10.1067/MGE.2001.115334
The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: analysis of 350 patients.
T. Zoepf (2001)
10.1007/S11894-003-0084-9
Understanding risk factors and avoiding complications with endoscopic retrograde cholangiopancreatography
M. Freeman (2003)
10.1016/S0016-5107(04)02169-8
Complications of ERCP: a prospective study.
M. Christensen (2004)
10.1136/gut.2007.121657
Guidelines on the management of common bile duct stones (CBDS)
E. Williams (2008)
10.1016/S0002-9270(02)05834-3
Safety of extension of a previous endoscopic sphincterotomy: a prospective study
C. Mavrogiannis (2003)
Comparison of endoscopic papillary balloon dilatation with conventional endoscopic sphincterotomy for peripapillary choledochoduodenal fistula with bile duct stones.
D. Shao (2015)
Adverse outcomes of endoscopic retrograde cholangiopancreatography.
M. Freeman (2002)
10.1007/s11605-009-1134-x
Success and Complication Rates of Two Precut Techniques, Transpancreatic Sphincterotomy and Needle-Knife Sphincterotomy for Bile Duct Cannulation
P. Wang (2009)
10.1001/archsurg.2009.226
Prospective randomized trial of LC+LCBDE vs ERCP/S+LC for common bile duct stone disease.
S. Rogers (2010)
10.1016/S0016-5107(96)70053-6
Papillary roof incision using the Erlangen-type pre-cut papillotome to achieve selective bile duct cannulation.
K. Binmoeller (1996)
10.1007/s004649900314
Analysis of complications of endoscopic sphincterotomy for biliary stones in a consecutive series of 546 patients
R. Coppola (1997)
10.1007/s004649901111
Laparoscopic treatment for common bile duct stones by transcystic papilla balloon dilatation technique
S. Fujisaki (1999)
Coledocolitiasis. Elección de una terapia basada en la evidencia. Revisión sistemática de la literatura * Choledocolitiasis. Evidence-based medicine. Systematic review
M. V. Gallardo (2005)
stoneson the management of common bile duct
M. Lombard (2008)
10.1007/BF02968703
Pancréatite aiguë après CPRE
J. C. Paris (2008)
10.1067/MGE.2000.108970
Sphincterotomy-associated biliary strictures: features and endoscopic management.
M. J. Bourke (2000)
10.11280/GEE1973B.49.1785
COMPLICATIONS OF ENDOSCOPIC SPHINCTEROTOMY
N. Hirata (2007)
10.1111/j.1440-1746.2012.07111.x
Wire assisted transpancreatic septotomy, needle knife precut or both for difficult biliary access
C. Chan (2012)
10.1016/S1052-5157(03)00107-7
Adverse outcomes of endoscopic retrograde cholangiopancreatography: avoidance and management.
M. Freeman (2003)
10.1016/J.EJIM.2005.01.003
A retroperitoneal abscess causing hydronephrosis: An unusual sequela of ERCP.
E. Goet (2005)
Needle-knife fistulotomy versus standard method for cannulation of common bile duct: a randomized controlled trial.
M. Khatibian (2008)
! %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% * %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% - )% " %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
J. A. Søreide (1996)
10.1016/S0016-5107(02)70028-X
Evidence-based assessment: patient, procedure, or operator factors associated with ERCP complications.
N. Aronson (2002)
10.1157/13087466
Acceso a la vía biliar mediante esfinterotomía transpancreática
J. Espinel-Díez (2006)
10.1007/978-88-470-0763-5_28
Common Bile Duct Stones in Cholecystectomized Patients
C. Sciumé (2008)
10.3748/WJG.15.3283
Is ERCP really necessary in case of suspected spontaneous passage of bile duct stones?
Y. Sakai (2009)
10.1016/S0140-6736(96)11026-6
Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones
J. Bergman (1997)
See more
Semantic Scholar Logo Some data provided by SemanticScholar