Comparison of Papillary Balloon Dilatation Vs.Sphincterotomy for Lithotripsy in Difficult Sphincterotomy or Distal CBD Tapering
This trial is active, not recruiting.
|Treatments||endoscopic papillary balloon dilatation, endoscopic sphincterotomy|
|Sponsor||National Taiwan University Hospital|
|Start date||March 2006|
|End date||May 2006|
|Trial identifier||NCT00329888, 9561703024|
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.
|Observational model||defined population|
Male or female participants of any age.
Inclusion Criteria: - Choledocholithiasis with - Difficult sphincterotomy:periampullary diverticulum, prior sphincterotomy or Billroth II anastomosis - or distal CBD tapering. Exclusion Criteria: - Patients in whom no endoscopic papillary balloon dilatation or endoscopic sphincterotomy was performed for lithotripsy
|Official title||Comparison of Endoscopic Papillary Balloon Dilatation and Sphincterotomy for CBD Stones With Difficult Sphincterotomy or Distal CBD Tapering|
|Principal investigator||Wei Chih Liao, MD.|
|Description||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.|
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