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首页> 美国卫生研究院文献>International Journal of Clinical and Experimental Medicine >Comparison of endoscopic papillary balloon dilatation with conventional endoscopic sphincterotomy for peripapillary choledochoduodenal fistula with bile duct stones
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Comparison of endoscopic papillary balloon dilatation with conventional endoscopic sphincterotomy for peripapillary choledochoduodenal fistula with bile duct stones

机译：内镜乳头球囊扩张术与常规内镜括约肌切开术治疗胆囊结石伴乳头状胆总管十二指肠瘘

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Background: Peripapillary choledochoduodenal fistula (PCDF) is occasionally detected during endoscopic retrograde cholangiopancreatography. This study was designed to compare perioperative outcomes of the peripapillary choledochoduodenal fistula with bile duct stones via endoscopic papillary balloon dilatation and conventional endoscopic sphincterotomy. Methods: We retrospectively reviewed 28 patients in whom a diagnosis was made with ERCP of benign peripapillary choledochoduodenal fistula between January 2009 and August 2014. Endoscopic sphincterotomy was performed in 10 patients and endoscopic papillary balloon dilation was performed in 18 patients. All clinical data were analyzed retrospectively. Results: The median operating time was significantly shorter in the EPBD group with a median of 19.78±4 mins versus 42.2±11.6 mins in the EST group (P<0.05). Postoperative complications occurred in five (50%) versus one (5.5%) patients in the EST and EPBD groups respectively. There were significant differences in postoperative complication rates. The rates of post-ERCP pancreatitis and perforation were not significantly different between the EPBD and EST groups [1/10 (10%) vs 2/18 (11%), P=0.7; 0% vs 0%; respectively]. There were 2 (20%) bleeding cases in EST group, and no bleeding cases in EPBD group.Conclusion: EPBD appear to be safe and effective modalities for common bile duct stone removal in patients with PCDF.
机译：背景：在内镜逆行胰胆管造影术中偶尔发现乳头状胆管十二指肠瘘（PCDF）。本研究旨在通过内镜乳头球囊扩张术和常规内镜括约肌切开术比较围乳头状胆总管十二指肠瘘与胆管结石的围手术期结局。方法：我们回顾性回顾了2009年1月至2014年8月期间经ERCP诊断为良性乳头周围胆总管十二指肠瘘的28例患者。10例行内镜括约肌切开术，18例行内镜乳头球囊扩张术。回顾性分析所有临床资料。结果：EPBD组的中位手术时间明显缩短，中位值为19.78±4分钟，而EST组为42.2±11.6分钟（P <0.05）。 EST组和EPBD组分别有5例（50％）和1例（5.5％）发生术后并发症。术后并发症发生率有显着差异。 EPBD组和EST组之间，ERCP后胰腺炎和穿孔的发生率无显着差异[1/10（10％）vs 2/18（11％），P = 0.7； 0％和0％；分别]。 EST组有2例（20％）出血病例，EPBD组无出血病例。结论：EPBD似乎是PCDF患者胆总管结石清除的安全有效方式。

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