Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series

Girolamo Geraci, Carmelo Sciume', Raffaele Manta, Gian Eugenio Tontini, Attilio Maurano, Giuseppe Grande, Pavlos Antypas, Claudio Zulli, Orazio Labianca, Massimo Devani, Gianpiero Manes, Fausto Fiocca

Risultato della ricerca: Article

2 Citazioni (Scopus)

Abstract

Introduction: Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10–20% of patients undergoing ERCP. Aim of our study is to evaluate efficacy and safety of EPLBD for the extraction of large biliary stones in patients with PAD. Methods: The prospectively collected endoscopy databases of 4 Italian ERCP high-volume centers were reviewed retrospectively, and all consecutive patients with an instrumental diagnosis of large biliary stones and PAD, between September 2014 and October 2016, were included in this study. Results: Eighty-one patients (36 males, median age 75 years) were treated between September 2014 and October 2016. Deep biliary cannulation was reached in 78/80 patients. Successful extraction was achieved in 74/78 patients at the first attempt. AEs occurred in 8 patients (1 severe). Younger age, stone size and incomplete stone extraction were significantly associated with AEs. Conclusions: EPLBD is an effective and safe technique in patients with PAD and large biliary stones, which avoids the need of other techniques, thereby reducing the risks of adverse events.
Lingua originaleEnglish
pagine (da-a)828-832
Numero di pagine5
RivistaDigestive and Liver Disease
Volume50
Stato di pubblicazionePublished - 2018

Fingerprint

Diverticulum
Dilatation
Endoscopic Retrograde Cholangiopancreatography
Common Bile Duct
Catheterization
Endoscopy
Databases
Safety

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cita questo

Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series. / Geraci, Girolamo; Sciume', Carmelo; Manta, Raffaele; Tontini, Gian Eugenio; Maurano, Attilio; Grande, Giuseppe; Antypas, Pavlos; Zulli, Claudio; Labianca, Orazio; Devani, Massimo; Manes, Gianpiero; Fiocca, Fausto.

In: Digestive and Liver Disease, Vol. 50, 2018, pag. 828-832.

Risultato della ricerca: Article

Geraci, G, Sciume', C, Manta, R, Tontini, GE, Maurano, A, Grande, G, Antypas, P, Zulli, C, Labianca, O, Devani, M, Manes, G & Fiocca, F 2018, 'Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series', Digestive and Liver Disease, vol. 50, pagg. 828-832.
Geraci, Girolamo ; Sciume', Carmelo ; Manta, Raffaele ; Tontini, Gian Eugenio ; Maurano, Attilio ; Grande, Giuseppe ; Antypas, Pavlos ; Zulli, Claudio ; Labianca, Orazio ; Devani, Massimo ; Manes, Gianpiero ; Fiocca, Fausto. / Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series. In: Digestive and Liver Disease. 2018 ; Vol. 50. pagg. 828-832.
@article{66df1119cb554b388e24a5a667e00c3c,
title = "Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series",
abstract = "Introduction: Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10–20{\%} of patients undergoing ERCP. Aim of our study is to evaluate efficacy and safety of EPLBD for the extraction of large biliary stones in patients with PAD. Methods: The prospectively collected endoscopy databases of 4 Italian ERCP high-volume centers were reviewed retrospectively, and all consecutive patients with an instrumental diagnosis of large biliary stones and PAD, between September 2014 and October 2016, were included in this study. Results: Eighty-one patients (36 males, median age 75 years) were treated between September 2014 and October 2016. Deep biliary cannulation was reached in 78/80 patients. Successful extraction was achieved in 74/78 patients at the first attempt. AEs occurred in 8 patients (1 severe). Younger age, stone size and incomplete stone extraction were significantly associated with AEs. Conclusions: EPLBD is an effective and safe technique in patients with PAD and large biliary stones, which avoids the need of other techniques, thereby reducing the risks of adverse events.",
author = "Girolamo Geraci and Carmelo Sciume' and Raffaele Manta and Tontini, {Gian Eugenio} and Attilio Maurano and Giuseppe Grande and Pavlos Antypas and Claudio Zulli and Orazio Labianca and Massimo Devani and Gianpiero Manes and Fausto Fiocca",
year = "2018",
language = "English",
volume = "50",
pages = "828--832",
journal = "Digestive and Liver Disease",
issn = "1590-8658",
publisher = "Elsevier",

}

TY - JOUR

T1 - Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series

AU - Geraci, Girolamo

AU - Sciume', Carmelo

AU - Manta, Raffaele

AU - Tontini, Gian Eugenio

AU - Maurano, Attilio

AU - Grande, Giuseppe

AU - Antypas, Pavlos

AU - Zulli, Claudio

AU - Labianca, Orazio

AU - Devani, Massimo

AU - Manes, Gianpiero

AU - Fiocca, Fausto

PY - 2018

Y1 - 2018

N2 - Introduction: Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10–20% of patients undergoing ERCP. Aim of our study is to evaluate efficacy and safety of EPLBD for the extraction of large biliary stones in patients with PAD. Methods: The prospectively collected endoscopy databases of 4 Italian ERCP high-volume centers were reviewed retrospectively, and all consecutive patients with an instrumental diagnosis of large biliary stones and PAD, between September 2014 and October 2016, were included in this study. Results: Eighty-one patients (36 males, median age 75 years) were treated between September 2014 and October 2016. Deep biliary cannulation was reached in 78/80 patients. Successful extraction was achieved in 74/78 patients at the first attempt. AEs occurred in 8 patients (1 severe). Younger age, stone size and incomplete stone extraction were significantly associated with AEs. Conclusions: EPLBD is an effective and safe technique in patients with PAD and large biliary stones, which avoids the need of other techniques, thereby reducing the risks of adverse events.

AB - Introduction: Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10–20% of patients undergoing ERCP. Aim of our study is to evaluate efficacy and safety of EPLBD for the extraction of large biliary stones in patients with PAD. Methods: The prospectively collected endoscopy databases of 4 Italian ERCP high-volume centers were reviewed retrospectively, and all consecutive patients with an instrumental diagnosis of large biliary stones and PAD, between September 2014 and October 2016, were included in this study. Results: Eighty-one patients (36 males, median age 75 years) were treated between September 2014 and October 2016. Deep biliary cannulation was reached in 78/80 patients. Successful extraction was achieved in 74/78 patients at the first attempt. AEs occurred in 8 patients (1 severe). Younger age, stone size and incomplete stone extraction were significantly associated with AEs. Conclusions: EPLBD is an effective and safe technique in patients with PAD and large biliary stones, which avoids the need of other techniques, thereby reducing the risks of adverse events.

UR - http://hdl.handle.net/10447/294456

M3 - Article

VL - 50

SP - 828

EP - 832

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

ER -