Choledocholithiasis Clinical Trial
Official title:
Comparison of Endoscopic Papillary Balloon Dilatation and Sphincterotomy for CBD Stones With Difficult Sphincterotomy or Distal CBD Tapering
Compare endoscopic papillary balloon dilatation vs. endoscopic sphincterotomy for bile duct
stones in:
- when sphincterotomy is difficult (periampullary diverticulum, prior sphincterotomy or
Billroth II anastomosis)
- when there is distal CBD tapering.
Endoscopic papillary balloon dilatation is an alternative to endoscopic sphincterotomy for
treating bile duct stones:
- easier and as effective. But...
- a higher risk of pancreatitis.
Conditions including periampullary diverticulum, prior EST, Billroth-II anastomosis, or
distal CBD tapering pose difficulty in EST and lithotripsy with increased risk of
complications.
Whether EPBD or EST is superior in efficacy or safety under such circumstances is not clear.
;
Observational Model: Defined Population, Time Perspective: Cross-Sectional
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