What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?
Joint Authors
Vazquez-Sequeiros, Enrique
Tavio-Hernandez, Eduardo
Rodriguez-Santiago, Enrique
Gonzalez-Martin, Juan Angel
Foruny-Olcina, Jose Ramón
Benita-Leon, Vicente
Defarges-Pons, Victor
Albillos-Martínez, Agustin
Boixeda-Miquel, Daniel
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Endoscopic papillary large balloon dilatation (EPLBD) is an alternative for the treatment of common bile duct (CBD) stones.
Existing evidence of factors associated with its outcomes is contradictory.
Objective.
To identify predictors (including the experience of an endoscopist) of success and adverse events in EPLBD.
Methods.
We reviewed the first 200 EPLBD with endoscopic sphincterotomy (EST) performed at our center.
Demographic, clinical, and anatomic variables were studied, as well as the performance characteristics, correlating them with individual and group experience.
Results.
Global success was obtained in 87% of cases, and adverse events occurred in 16% of cases.
Success was associated with stone size, CBD diameter, and the need to perform mechanical lithotripsy (ML).
Despite that adverse events were not univariately associated with any factor, severe adverse events were more likely to occur in stones > 13.5 mm.
Multivariate analysis which disclosed success was higher when ML was not required and stones were < 13.5 mm.
It also showed that no factor was associated with adverse events or their severity.
No differences were found on success or adverse events that could be directly related to experience.
Conclusions.
Success of EPLBD-EST is higher in stones < 13.5 mm and when ML is not required.
Experience does not appear to play a major role.
American Psychological Association (APA)
Tavio-Hernandez, Eduardo& Vazquez-Sequeiros, Enrique& Rodriguez-Santiago, Enrique& Gonzalez-Martin, Juan Angel& Foruny-Olcina, Jose Ramón& Benita-Leon, Vicente…[et al.]. 2017. What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156533
Modern Language Association (MLA)
Tavio-Hernandez, Eduardo…[et al.]. What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156533
American Medical Association (AMA)
Tavio-Hernandez, Eduardo& Vazquez-Sequeiros, Enrique& Rodriguez-Santiago, Enrique& Gonzalez-Martin, Juan Angel& Foruny-Olcina, Jose Ramón& Benita-Leon, Vicente…[et al.]. What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156533
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156533