The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis
Background. No study investigated the efficacy and safety of endoscopic papillary balloon dilation (EPBD) for the treatment of acute biliary pancreatitis (ABP). Method. We retrospectively reviewed the effects of EPBD on patients with ABP from February 2003 to December 2012. The general data, finding...
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Wiley
2015-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/575898 |
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| author | Wei-Chih Sun Hoi-Hung Chan Kwok-Hung Lai Tzung-Jiun Tsai Huey-Shyan Lin Kung-Hung Lin Kai-Ming Wang Sung-Shuo Kao Po-Hung Chiang Jin-Shiung Cheng Ping-I Hsu Wei-Lun Tsai Wen-Chi Chen Yun-Da Li E-Ming Wang |
| author_facet | Wei-Chih Sun Hoi-Hung Chan Kwok-Hung Lai Tzung-Jiun Tsai Huey-Shyan Lin Kung-Hung Lin Kai-Ming Wang Sung-Shuo Kao Po-Hung Chiang Jin-Shiung Cheng Ping-I Hsu Wei-Lun Tsai Wen-Chi Chen Yun-Da Li E-Ming Wang |
| author_sort | Wei-Chih Sun |
| collection | DOAJ |
| description | Background. No study investigated the efficacy and safety of endoscopic papillary balloon dilation (EPBD) for the treatment of acute biliary pancreatitis (ABP). Method. We retrospectively reviewed the effects of EPBD on patients with ABP from February 2003 to December 2012. The general data, findings of image studies, details of the procedure, and outcomes after EPBD were analyzed. Result. Total 183 patients (male/female: 110/73) were enrolled. The mean age was 65.9 years. Among them, 155 patients had mild pancreatitis. The meantime from admission to EPBD was 3.3 days. Cholangiogram revealed filling defects inside the common bile duct (CBD) in 149 patients. The mean dilating balloon size was 10.5 mm and mean duration of the dilating procedure was 4.3 minutes. Overall, 124 patients had gross stones retrieved from CBD. Four (2.2%) adverse events and 2 (1.1%) intraprocedure bleeding incidents but no procedure-related mortality were noted. Bilirubin and amylase levels significantly decreased after EPBD. On average, patients resumed oral intake within 1.4 days. The clinical parameters and outcomes were similar in patients with different severity of pancreatitis. Conclusion. EPBD can be effective and safe for the treatment of ABP, even in patients presenting with severe disease. |
| format | Article |
| id | doaj-art-18b25ca5fd1d450a950ff46a03dc172a |
| institution | DOAJ |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-18b25ca5fd1d450a950ff46a03dc172a2025-08-20T03:17:35ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/575898575898The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary PancreatitisWei-Chih Sun0Hoi-Hung Chan1Kwok-Hung Lai2Tzung-Jiun Tsai3Huey-Shyan Lin4Kung-Hung Lin5Kai-Ming Wang6Sung-Shuo Kao7Po-Hung Chiang8Jin-Shiung Cheng9Ping-I Hsu10Wei-Lun Tsai11Wen-Chi Chen12Yun-Da Li13E-Ming Wang14Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDepartment of Health-Business Administration, Fooyin University, Kaohsiung 831, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanBackground. No study investigated the efficacy and safety of endoscopic papillary balloon dilation (EPBD) for the treatment of acute biliary pancreatitis (ABP). Method. We retrospectively reviewed the effects of EPBD on patients with ABP from February 2003 to December 2012. The general data, findings of image studies, details of the procedure, and outcomes after EPBD were analyzed. Result. Total 183 patients (male/female: 110/73) were enrolled. The mean age was 65.9 years. Among them, 155 patients had mild pancreatitis. The meantime from admission to EPBD was 3.3 days. Cholangiogram revealed filling defects inside the common bile duct (CBD) in 149 patients. The mean dilating balloon size was 10.5 mm and mean duration of the dilating procedure was 4.3 minutes. Overall, 124 patients had gross stones retrieved from CBD. Four (2.2%) adverse events and 2 (1.1%) intraprocedure bleeding incidents but no procedure-related mortality were noted. Bilirubin and amylase levels significantly decreased after EPBD. On average, patients resumed oral intake within 1.4 days. The clinical parameters and outcomes were similar in patients with different severity of pancreatitis. Conclusion. EPBD can be effective and safe for the treatment of ABP, even in patients presenting with severe disease.http://dx.doi.org/10.1155/2015/575898 |
| spellingShingle | Wei-Chih Sun Hoi-Hung Chan Kwok-Hung Lai Tzung-Jiun Tsai Huey-Shyan Lin Kung-Hung Lin Kai-Ming Wang Sung-Shuo Kao Po-Hung Chiang Jin-Shiung Cheng Ping-I Hsu Wei-Lun Tsai Wen-Chi Chen Yun-Da Li E-Ming Wang The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis Gastroenterology Research and Practice |
| title | The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis |
| title_full | The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis |
| title_fullStr | The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis |
| title_full_unstemmed | The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis |
| title_short | The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis |
| title_sort | efficacy of endoscopic papillary balloon dilation for patients with acute biliary pancreatitis |
| url | http://dx.doi.org/10.1155/2015/575898 |
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