Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis
Joint Authors
Xu, Lei
Kyaw, Moe Htet
Tse, Yee Kit
Lau, James Yun Wong
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-10
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
The safety and efficacy of endoscopic sphincterotomy with large balloon dilation (EPLBD) are unclear.
This study compares the safety and efficacy between EPLBD and endoscopic sphincterotomy (EST).
Patients and Methods.
Literatures were searched for randomized controlled trials in PUBMED, EMBASE, and Cochrane Library.
Outcome measurements included adverse events; stone removal rate; requirement of mechanical lithotripsy.
Results.
Four RCTs with a total of 596 patients were included.
Three RCTs compared EPLBD versus EST alone for stone removal; one RCT compared EPLBD versus EST plus mechanical lithotripsy for stone removal.
Pooled data from three RCTs showed that there was no significant difference in the adverse event of ERCP.
A significantly higher cholangitis rate was seen in patients who received EST plus mechanical lithotripsy, compared to those treated with EPLBD (13.3% versus 0.0, P = 0.026 ).
No statistical difference was found between EPLBD and EST for stone removal rate.
Significant differences in requirement of mechanical lithotripsy were seen with removal of large stones (>15 mm), with EPLBD reducing the use of mechanical lithotripsy (RR: 0.73; 95% CI: 0.54–0.99).
Conclusions.
EPLBD and EST have similar efficacy and safety for bile duct stones clearance.
With larger stones, EPLBD can reduce requirement of mechanical lithotripsy.
American Psychological Association (APA)
Xu, Lei& Kyaw, Moe Htet& Tse, Yee Kit& Lau, James Yun Wong. 2015. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International،Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
Modern Language Association (MLA)
Xu, Lei…[et al.]. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International No. 2015 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
American Medical Association (AMA)
Xu, Lei& Kyaw, Moe Htet& Tse, Yee Kit& Lau, James Yun Wong. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056340