본문 바로가기
KERD
논문KCI 등재

Endoscopic Papillary Balloon Dilation for Removal of Choledocholithiasis: Indications, Advantages, Complications, and Long-Term Follow-Up Results

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Endoscopic papillary balloon dilation (EPBD) is an alternative method of endoscopic sphincterotomy (EST). Although concerns regarding post-procedure pancreatitis have been expressed, EPBD has come to be recognized as an effective and safe method for stone removal in specific cases. To analyze the proper indications, ideal methods, complications,and long-term follow-up results for EPBD, we reviewed articles about EPBD located through a search of the PubMed data base. We analyzed the ballooning methods, indications,results and complications of EPBD among the articles found and compared the results with those of EST. We considered the authors’ own clinical experience and knowledge in developing recommendations for EPBD. EPBD showed similar effi cacy and safety for the removal of choledocholithiasis to that of EST. Although large or multiple stones were diffi cult to remove by EPBD, it was safer and easier to apply in patients with coagulopathy or abnormal anatomy. To prevent severe pancreatitis, excessive ballooning and impractical cannulation should be avoided, and precut sphincterotomy or adjuvant prophylaxis should be considered. Due to its preservation of the sphincter of Oddi, EPBD is expected to have fewer long-term complications, such as stone recurrence,cholangitis and cholecystitis. In conclusion, EPBD appears to be safe and effective for the treatment of choledocholithiasis with proper selection of ballooning methods and patients.

Abstract

Endoscopic papillary balloon dilation (EPBD) is an alternative method of endoscopic sphincterotomy (EST). Although concerns regarding post-procedure pancreatitis have been expressed, EPBD has come to be recognized as an effective and safe method for stone removal in specific cases. To analyze the proper indications, ideal methods, complications,and long-term follow-up results for EPBD, we reviewed articles about EPBD located through a search of the PubMed data base. We analyzed the ballooning methods, indications,results and complications of EPBD among the articles found and compared the results with those of EST. We considered the authors’ own clinical experience and knowledge in developing recommendations for EPBD. EPBD showed similar effi cacy and safety for the removal of choledocholithiasis to that of EST. Although large or multiple stones were diffi cult to remove by EPBD, it was safer and easier to apply in patients with coagulopathy or abnormal anatomy. To prevent severe pancreatitis, excessive ballooning and impractical cannulation should be avoided, and precut sphincterotomy or adjuvant prophylaxis should be considered. Due to its preservation of the sphincter of Oddi, EPBD is expected to have fewer long-term complications, such as stone recurrence,cholangitis and cholecystitis. In conclusion, EPBD appears to be safe and effective for the treatment of choledocholithiasis with proper selection of ballooning methods and patients.

참고문헌 (62)

  1. Classen M, "Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct (author’s transl)", Dtsch Med Wochenschr, 99, pp.496~497 (1974)
  2. Kawai K, "Endoscopic sphincterotomy of the ampulla of Vater", Gastrointest Endosc, 20, pp.148~151 (1972)
  3. Freeman ML, "Complications of endoscopic biliary sphincterotomy", N Engl J Med, 335, pp.909~918 (1996)
  4. Moreira VF, "Choledocholithiasis in cirrhotic patients: is endoscopic sphincterotomy the safest choice", Am J Gastroenterol, 86, pp.1006~1010 (1991)
  5. Sugiyama M, "Treatment of choledocholithiasis in patients with liver cirrhosis. Surgical treatment or endoscopic sphincterotomy", Ann Surg, 218, pp.68~73 (1993)
  6. Chijiiwa K, "Treat- ment of choice for choledocholithiasis in patients with acute obstructive suppurative cholangitis and liver cirrhosis", Am J Surg, 170, pp.356~360 (1995)
  7. Geenen JE, "Endoscopic sphincterotomy: follow-up evaluation of effects on the sphincter of Oddi", Gastroenterology, 87, pp.754~758 (1984)
  8. Bergman JJ, "Biliary manometry, bacterial characteristics, bile composition, and histologic changes fifteen to seventeen years after endoscopic sphincterotomy", Gastrointest Endosc, 45, pp.400~405 (1997)
  9. Bergman JJ, "Long-term followup after endoscopic sphincterotomy for bile duct stones in patients younger than 60 years of age", Gastrointest Endosc, 44, pp.643~649 (1996)
  10. Staritz M, "Endoscopic papillary dilation (EPD) for the treatment of common bile duct stones and papillary stenosis", Endoscopy, 15(Suppl 1), pp.197~198 (1983)
  11. Mac Mathuna P, "The acute and long-term effect of balloon sphincteroplasty on papillary structure in pigs", Gastrointest Endosc, 44, pp.650~655 (1996)
  12. Kawabe T, "Histological analysis of the papilla after endoscopic papillary balloon dilation", Hepatogastroenterology, 50, pp.919~923 (2003)
  13. Ueno N, "Impact of endoscopic sphincter dilation on papillary structure: a case report", Gastrointest Endosc, 50, pp.713~715 (1999)
  14. Minami A, "Papillary dilation vs sphincterotomy in endoscopic removal of bile duct stones. A randomized trial with manometric function", Dig Dis Sci, 40, pp.2550~2554 (1995)
  15. Sato H, "Endoscopic papillary balloon dilatation may preserve sphincter of Oddi function after common bile duct stone management: evaluation from the viewpoint of endoscopic manometry", Gut, 41, pp.541~544 (1997)
  16. Yasuda I, "Can endoscopic papillary balloon dilation really preserve sphincter of Oddi function", Gut, 49, pp.686~691 (2001)
  17. Cotton PB, "Endoscopic sphincterotomy complications and their management: an attempt at consensus", Gastrointest Endosc, 37, pp.383~393 (1991)
  18. Park DH, "Endoscopic sphincterotomy vs. endoscopic papillary balloon dilation for choledocholithiasis in patients with liver cirrhosis and coagulopathy", Gastrointest Endosc, 60, pp.180~185 (2004)
  19. Kawabe T, "Endoscopic papillary balloon dilation in cirrhotic patients: removal of common bile duct stones without sphincterotomy", Endoscopy, 28, pp.694~698 (1996)
  20. Komatsu Y, "Endoscopic papillary balloon dilation for the management of common bile duct stones: experience of 226 cases", Endoscopy, 30, pp.12~17 (1998)
  21. Prat F, "Endoscopic sphincteroclasy: a useful therapeutic tool for biliary endoscopy in Billroth II gastrectomy patients", Endoscopy, 29, pp.79~81 (1997)
  22. Baron TH, "Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a metaanalysis of randomized, controlled trials", Am J Gastroenterol, 99, pp.1455~1460 (2004)
  23. Arnold JC, "Endoscopic papillary balloon dilation vs. sphincterotomy for removal of common bile duct stones: a prospective randomized pilot study", Endoscopy, 33, pp.563~567 (2001)
  24. Bergman JJ, "Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones", Lancet, 349, pp.1124~1129 (1997)
  25. Natsui M, "What is an appropriate indication for endoscopic papillary balloon dilation", Eur J Gastroenterol Hepatol, 14, pp.635~640 (2002)
  26. Lin CK, "Endoscopic balloon dilatation is a safe method in the management of common bile duct stones", Dig Liver Dis, 36, pp.68~72 (2004)
  27. Tanaka S, "Endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones: long-term outcomes in a prospective randomized controlled trial", Gastrointest Endosc, 59, pp.614~618 (2004)
  28. Toda N, "Endoscopic sphincterotomy and papillary balloon dilation for bile duct stones", Hepatogastroenterology, 52, pp.700~704 (2005)
  29. Liao WC, "Comparison of endoscopic papillary balloon dilatation and sphincterotomy for lithotripsy in difficult sphincterotomy", J Clin Gastroenterol, 42, pp.295~299 (2008)
  30. Mathuna PM, "Lennon JR, Crowe J. Endoscopic balloon sphincteroplasty (papillary dilation) for bile duct stones: efficacy, safety, and follow-up in 100 patients", Gastrointest Endosc, 42, pp.468~474 (1995)
  31. Heo JH, "Endoscopic sphincterotomy plus large-balloon dilation versus endoscopic sphincterotomy for removal of bile-duct stones", Gastrointest Endosc, 66, pp.720~726 (2007)
  32. Tsujino T, "Risk factors for pancreatitis in patients with common bile duct stones managed by endoscopic papillary balloon dilation", Am J Gastroenterol, 100, pp.38~42 (2005)
  33. Ueno N, "Pancreatitis induced by endoscopic balloon sphincter dilation and changes in serum amylase levels after the procedure", Gastrointest Endosc, 49(4 Pt 1), pp.472~476 (1999)
  34. Kozarek RA, "Balloon dilation of the sphincter of Oddi", Endoscopy, 20(Suppl 1), pp.207~210 (1988)
  35. Disario JA, "Endoscopic balloon dilation compared with sphincterotomy for extraction of bile duct stones", Gastroenterology, 127, pp.1291~1299 (2004)
  36. Sugiyama M, "Predictive factors for acute pancreatitis and hyperamylasemia after endoscopic papillary balloon dilation", Gastrointest Endosc, 57, pp.531~535 (2003)
  37. Fujita N, "Endoscopic sphincterotomy and endoscopic papillary balloon dilatation for bile duct stones: a prospective randomized controlled multicenter trial", Gastrointest Endosc, 57, pp.151~155 (2003)
  38. Wang P, "Risk factors for ERCP-related complications: a prospective multicenter study", Am J Gastroenterol, 104, pp.31~40 (2009)
  39. Laugier R, "Changes in pancreatic exocrine secretion with age: pancreatic exocrine secretion does decrease in the elderly", Digestion, 50, pp.202~211 (1991)
  40. Ersoz G, "Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract", Gastrointest Endosc, 57, pp.156~159 (2003)
  41. Cavallini G, "Gabexate for the prevention of pancreatic damage related to endoscopic retrograde cholangiopancreatography. Gabexate in digestive endoscopy--Italian Group", N Engl J Med, 335, pp.919~923 (1996)
  42. Aizawa T, "Stent placement in the pancreatic duct prevents pancreatitis after endoscopic sphincter dilation for removal of bile duct stones", Gastrointest Endosc, 54, pp.209~213 (2001)
  43. Ohashi A, "Epinephrine irrigation for the prevention of pancreatic damage after endoscopic balloon sphincteroplasty", J Gastroenterol Hepatol, 16, pp.568~571 (2001)
  44. Nakagawa H, "Safeguards against acute pancreatitis associated with endoscopic papillary balloon dilatation", J Hepatobiliary Pancreat Surg, 13, pp.75~79 (2006)
  45. Wehrmann T, "Endoscopic injection of botulinum toxin in patients with recurrent acute pancreatitis due to pancreatic sphincter of Oddi dysfunction", Aliment Pharmacol Ther, 14, pp.1469~1477 (2000)
  46. Ochi Y, "Comparing the treatment outcomes of endoscopic papillary dilation and endoscopic sphincterotomy for removal of bile duct stones", J Gastroenterol Hepatol, 14, pp.90~96 (1999)
  47. Pittman MA, "Gallstone ileus following endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy", Dig Dis Sci, 52, pp.513~515 (2007)
  48. Sivagnanam P, "Delayed gallstone ileus presentation after ERCP and sphincterotomy", Gastrointest Endosc, 69, pp.156~158 (2009)
  49. Ohashi A, "Risk factors for recurrent bile duct stones after endoscopic papillary balloon dilation: long-term follow-up study", Dig Endosc, 21, pp.73~77 (2009)
  50. Ueno N, "Prognostic factors for recurrence of bile duct stones after endoscopic treatment by sphincter dilation", Gastrointest Endosc, 58, pp.336~340 (2003)
  51. Ito Y, "Endoscopic papillary balloon dilation for the management of bile duct stones in patients 85 years of age and older", Gastrointest Endosc, 68, pp.477~482 (2008)
  52. 천영국, "Large-diameter biliary orifice balloon dilation to aid in endoscopic bile duct stone removal: a multicenter series", GASTROINTESTINAL ENDOSCOPY, 67(7), pp.1046~1052, MOSBY-ELSEVIER
  53. 방승민, "Endoscopic Papillary Balloon Dilation with Large Balloon after Limited Sphincterotomy for Retrieval of Choledocholithiasis", Yonsei Medical Journal, 47(6), pp.805~810 (2006), 연세대학교의과대학
  54. Minami A, "Small sphincterotomy combined with papillary dilation with large balloon permits retrieval of large stones without mechanical lithotripsy", World J Gastroenterol, 13, pp.2179~2182 (2007)
  55. Maydeo A, "Balloon sphincteroplasty for removing difficult bile duct stones", Endoscopy, 39, pp.958~961 (2007)
  56. Draganov PV, "Large size balloon dilation of the ampulla after biliary sphincterotomy can facilitate endoscopic extraction of difficult bile duct stones", J Clin Gastroenterol, 43, pp.782~786 (2009)
  57. Itoi T, "Endoscopic sphincterotomy combined with large balloon dilation can reduce the procedure time and fluoroscopy time for removal of large bile duct stones", Am J Gastroenterol, 104, pp.560~565 (2009)
  58. Espinel J, "Large hydrostatic balloon for choledocholithiasis", Rev Esp Enferm Dig, 99, pp.33~38 (2007)
  59. Vlavianos P, "Endoscopic balloon dilatation versus endoscopic sphincterotomy for the removal of bile duct stones: a prospective randomised trial", Gut, 52, pp.1165~1169 (2003)
  60. Jeong S, "Endoscopic large-balloon sphincteroplasty without preceding sphincterotomy for the removal of large bile duct stones: a preliminary study", Gastrointest Endosc, 70, pp.915~922 (2009)
  61. Kojima Y, "Long-term prognosis of bile duct stones: endoscopic papillary balloon dilatation versus endoscopic sphincterotomy", Dig Endosc, 22, pp.21~24 (2010)
  62. Kim HG, "Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy", World J Gastroenterol, 15, pp.4298~4304 (2009)

관련 논문AI추천

Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile DuctAkito Iwasaki, Atsushi Nakajima, Kensuke Kubota, Kentaro Sakamaki, Kunihiro Hosono, Nobuyuki Matsuhashi, Takamitsu Sato, Toshio Fujisawa, Yuji Fujita, Yusuke Sekino거트앤리버 소화기연관학회협의회 · Gut and Liver2017 · 제11권 제1호The Ballooning Time in Endoscopic Papillary Balloon Dilation for the Treatment of Bile Duct Stones정석, 권계숙, 김영수, 김형길, 방병욱, 신용운, 이돈행, 이정일, 이진우대한내과학회 · The Korean Journal of Internal Medicine2010 · 제25권 제3호Which Is the Better Treatment for the Removal of Large Biliary Stones? Endoscopic Papillary Large Balloon Dilation versus Endoscopic Sphincterotomy김용태, 김재환, 류지곤, 박주경, 박진명, 백우현, 송병준거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제4호Twenty-Second versus Sixty-Second Dilation Duration in Endoscopic Papillary Balloon Dilation for the Treatment of Small Common Bile Duct Stones: A Prospective Randomized Controlled Multicenter Trial정석, 권창일, 문종호, 방병욱, 송태준, 이태훈, 최현종, 한정호대한소화기내시경학회 · Clinical Endoscopy2015 · 제48권 제1호Recurrence of Bile Duct Stones after Endoscopic Papillary Large Balloon Dilation Combined with Limited Sphincterotomy: Long-Term Follow-Up Study김국현, 김태년, Jung Hyun Rhu거트앤리버 소화기연관학회협의회 · Gut and Liver2012 · 제6권 제1호Endoscopic Papillary Large Balloon Dilation Combined with Guidewire-Assisted Precut Papillotomy for the Treatment of Choledocholithiasis in Patients with Billroth II GastrectomySi Hyung Lee, Tae Nyeun Kim거트앤리버 소화기연관학회협의회 · Gut and Liver2011 · 제5권 제2호

이 간행물의 다른 논문 (19건)