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Research Paper | Medicine | India | Volume 12 Issue 7, July 2023 | Popularity: 5 / 10
Dilation - Assisted Stone Extraction in Endoscopic Removal of Large Stones: A Retrospective Study
Divi Videha, Shanmughanathan .S, Ganesh .P, A. K Koushik
Abstract: Introduction: In patients with large bile duct stones Dilation - Assisted Stone Extraction (DASE) facilitates stone removal without increasing procedure related complications. Limited sphincterotomy combined with endoscopic papillary large - balloon dilation has become widely accepted for removing challenging CBD stones. Objective: To assess the efficiency and risks associated with sphincterotomy and sphincteroplasty for the removal of difficult and big bile duct stones. Materials and methods: A retrospective study was conducted among 92 patients who underwent DASE in ourtertiary care centre. The study included patients of all age groups belonging to either sex with bile duct stones >10mm on cholangiogram who underwent sphincterotomy plus sphincteroplasty using CRE balloon up to 15mm. Data regarding age, gender, stone size and success of sphincteroplasty and complications were noted and was entered into Microsoft Excel, and analysed using SPSS version 21.0 Results: Among 92 patients who underwent DASE, 52 (57%) were males and 40 (43%) were females. Mean stone size 12.61?3.55mmwith largest 27mm. The success of DASE in our study was 90.2% patients. Mild pancreatitis seen in 7 (7.6%) patients. Stone size was significantly associated with failure of sphincteroplasty. Failure of stone removal was seen more common in those with stone size >15mm (33.3%). Conclusion: DASE is a successful and secure method for removing a challenging common bile duct stone.
Keywords: Dilated Assisted Stone Extraction (DASE), Sphincteroplasty, Common bile duct (CBD) stones, Sphincterotomy
Edition: Volume 12 Issue 7, July 2023
Pages: 2010 - 2013
DOI: https://www.doi.org/10.21275/SR23725181458
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