Yalmeh Mehdi, Emami Abdolreza, Shokri Shirvani Javad, Abedi Valukalaei Seyyed Hassan, Hamidian Mohamadtaghi, Gholinia Ahangar Hemmat
Student Research Committee, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Department of Internal Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2023 Spring;14(2):226-230. doi: 10.22088/cjim.14.2.226.
Various factors, most notably the stone's features, determine the selection of an appropriate method to extract common bile duct (CBD) stones during endoscopic retrograde cholangiopancreatography. In this study, the efficacy and safety of endoscopic sphincterotomy with balloon dilation (ESBD) versus endoscopic sphincterotomy (EST) for CBD stone extraction with a diameter of 10 to 15 millimeters were compared.
This retrospective cross-sectional study included 154 patients referred to the Rouhani Hospital in Babol, Iran, with CBD stones. Consensus sampling was used. Each individual's demographic information and findings from the procedure were entered into the SPSS software (v. 26). A level of less than 0.05 was considered statistically significant.
A total of 154 patients were included in the study, of which 81 (52.6%) were in the EST, and 73 (47.4%) were in the ESBD group. Complete stones removal rate was higher in the ESBD versus the EST group (79.5% versus 46.9%, P<0.001). No significant differences were observed between the two methods' overall side effects rate (P = 0.469).
For the complete extraction of CBD stones larger than 10 millimeters, the ESBD method outperforms the EST method.
多种因素，尤其是结石的特征，决定了在内镜逆行胰胆管造影术中提取胆总管（CBD）结石时合适方法的选择。在本研究中，比较了内镜括约肌切开术联合球囊扩张（ESBD）与内镜括约肌切开术（EST）在提取直径为10至15毫米的CBD结石方面的疗效和安全性。
这项回顾性横断面研究纳入了154名转诊至伊朗巴博尔鲁哈尼医院的患有CBD结石的患者。采用共识抽样法。将每个人的人口统计学信息和手术结果输入SPSS软件（版本26）。P值小于0.05被认为具有统计学意义。
本研究共纳入154例患者，其中81例（52.6%）接受EST治疗，73例（47.4%）接受ESBD治疗。ESBD组的结石完全清除率高于EST组（79.5%对46.9%，P<0.001）。两种方法的总体副作用发生率之间未观察到显著差异（P = 0.469）。
对于直径大于10毫米的CBD结石的完全提取，ESBD方法优于EST方法。
