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Factors Predictive of Adverse Events Following Endoscopic Papillary Large Balloon Dilation: Results from a Multicenter Series

DC FieldValueLanguage
dc.contributor.author이세준-
dc.contributor.author정교태-
dc.contributor.author박수정-
dc.contributor.author이동기-
dc.date.accessioned2014-12-18T08:38:14Z-
dc.date.available2014-12-18T08:38:14Z-
dc.date.issued2013-
dc.identifier.issn0163-2116-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86676-
dc.description.abstractBACKGROUND: Lack of established guidelines for endoscopic papillary large balloon dilation (EPLBD) may be a reason for aversion of its use in removal of large common bile duct (CBD) stones. AIMS: We sought to identify factors predictive of adverse events (AEs) following EPLBD. METHODS: This multicenter retrospective study investigated 946 consecutive patients who underwent attempted removal of CBD stones ≥10 mm in size using EPLBD (balloon size 12-20 mm) with or without endoscopic sphincterotomy (EST) at 12 academic medical centers in Korea and Japan. RESULTS: Ninety-five (10.0 %) patients exhibited AEs including bleeding in 56, pancreatitis in 24, perforation in nine, and cholangitis in six; 90 (94.7 %) of these were classified as mild or moderate in severity. There were four deaths, three as a result of perforation and one due to delayed massive bleeding. Causative factors identified in fatal cases were full-EST and continued balloon inflation despite a persistent waist seen fluoroscopically. Multivariate analyses showed that cirrhosis (OR 8.03, p = 0.003), length of EST (full-EST: OR 6.22, p < 0.001) and stone size (≥16 mm: OR 4.00, p < 0.001) were associated with increased bleeding, and distal CBD stricture (OR 17.08, p < 0.001) was an independent predictor for perforation. On the other hand, balloon size was associated with deceased pancreatitis (≥14 mm: OR 0.27, p = 0.015). CONCLUSIONS: EPLBD appears to be a safe and effective therapeutic approach for retrieval of large stones in patients without distal CBD strictures and when performed without full-EST.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfDigestive Diseases and Sciences-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHCholangiopancreatography, Endoscopic Retrograde/adverse effects*-
dc.subject.MESHCholangiopancreatography, Endoscopic Retrograde/mortality-
dc.subject.MESHFatal Outcome-
dc.subject.MESHFemale-
dc.subject.MESHGallstones/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleFactors Predictive of Adverse Events Following Endoscopic Papillary Large Balloon Dilation: Results from a Multicenter Series-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorSoo Jung Park-
dc.contributor.googleauthorJin Hong Kim-
dc.contributor.googleauthorJae Chul Hwang-
dc.contributor.googleauthorHo Gak Kim-
dc.contributor.googleauthorDon Haeng Lee-
dc.contributor.googleauthorSeok Jeong-
dc.contributor.googleauthorSang-Woo Cha-
dc.contributor.googleauthorYoung Deok Cho-
dc.contributor.googleauthorHong Ja Kim-
dc.contributor.googleauthorJong Hyeok Kim-
dc.contributor.googleauthorJong Ho Moon-
dc.contributor.googleauthorSang-Heum Park-
dc.contributor.googleauthorTakao Itoi-
dc.contributor.googleauthorHiroyuki Isayama-
dc.contributor.googleauthorHirofumi Kogure-
dc.contributor.googleauthorSe Joon Lee-
dc.contributor.googleauthorKyo Tae Jung-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorTodd H. Baron-
dc.contributor.googleauthorDong Ki Lee-
dc.identifier.doi10.1007/s10620-012-2494-8-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02882-
dc.contributor.localIdA03577-
dc.contributor.localIdA02723-
dc.contributor.localIdA01539-
dc.relation.journalcodeJ00737-
dc.identifier.pmid23225136-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs10620-012-2494-8-
dc.subject.keywordEndoscopic papillary large balloon dilation-
dc.subject.keywordAdverse event-
dc.subject.keywordEndoscopic sphincterotomy-
dc.subject.keywordCholedocholithiasis-
dc.contributor.alternativeNameLee, Se Joon-
dc.contributor.alternativeNameJung, Kyo Tae-
dc.contributor.alternativeNamePark, Soo Jung-
dc.contributor.alternativeNameLee, Dong Ki-
dc.contributor.affiliatedAuthorLee, Se Joon-
dc.contributor.affiliatedAuthorJung, Kyo Tae-
dc.contributor.affiliatedAuthorLee, Dong Ki-
dc.contributor.affiliatedAuthorPark, Soo Jung-
dc.rights.accessRightsnot free-
dc.citation.volume58-
dc.citation.number4-
dc.citation.startPage1100-
dc.citation.endPage1109-
dc.identifier.bibliographicCitationDigestive Diseases and Sciences, Vol.58(4) : 1100-1109, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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