Department of Gastroenterology, Hepatologyand Infectious Disease, Kafrelsheikh University,Egypt.
Department of Tropical Medicine,Tanta University,Egypt.
J Pak Med Assoc. 2023 Apr;73(Suppl 4)(4):S39-S42. doi: 10.47391/JPMA.EGY-S4-12.
To compare balloon extraction versus Dormia basket in the retrieval of proximally migrated stent.
The prospective study was conducted at Tanta University Hospital and Kafrelsheikh University Hospital, Egypt, from December 2019 to December 2020, and comprised adult patients of either gender who presented with proximally migrated biliary plastic stent who were evaluated with respect to risk factor for migration. The difference in efficacy of and Dormia basket group A and balloon extraction group B was evaluated. Data was analysed using SPSS 21.
Of the 80 patients, 43(53.8%) were males and 37(46.3%) were females. The overall mean age was 55.7±14.2 years. Group A had 40(50%) patients; 21(52.2%) males and 19(47.5%) females with mean age 56.9±14.1 years. Group B had 40(50%) patients; 22(55%) males and 18(45%) females with mean age 54.6±14.5 years. (p>0.05). Change-over to the other method was done in 15(37.5%) patients of group A and in 8(20%) of group B (p=0.084). Mean time of the procedure was 57.4±21.7min in group A and 37.5±21.6min in group B (p≤0.001). Complications occurred in 3(7.5%) group A patients and 2(5.0%) group B patients (p=1.0).
Balloon extraction was found to be more successful than Dormia basket in the extraction of proximally migrated stent.
比较球囊提取与 Dormia 篮在近端迁移支架取出中的效果。
这项前瞻性研究于 2019 年 12 月至 2020 年 12 月在埃及坦塔大学医院和卡夫雷谢赫大学医院进行，纳入了有近端迁移胆道塑料支架的成年患者，评估了迁移的危险因素。评估了 Dormia 篮组（A 组）和球囊提取组（B 组）的疗效差异。数据使用 SPSS 21 进行分析。
80 例患者中，43 例（53.8%）为男性，37 例（46.3%）为女性。总平均年龄为 55.7±14.2 岁。A 组 40 例（50%）患者，21 例（52.2%）为男性，19 例（47.5%）为女性，平均年龄 56.9±14.1 岁。B 组 40 例（50%）患者，22 例（55%）为男性，18 例（45%）为女性，平均年龄 54.6±14.5 岁。（p>0.05）。A 组中有 15 例（37.5%）患者和 B 组中有 8 例（20%）患者需要改用其他方法（p=0.084）。A 组的手术时间为 57.4±21.7 分钟，B 组为 37.5±21.6 分钟（p≤0.001）。A 组有 3 例（7.5%）患者和 B 组有 2 例（5.0%）患者发生并发症（p=1.0）。
与 Dormia 篮相比，球囊提取在近端迁移支架取出中更为成功。
