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| Efficacy and Safety Analysis of Endoscopic Papillary Myotomy combined with Balloon Dilation in the treatment of Choledocholithiasis |
| WANG Binbin |
| Chizhou People's Hospital, Anhui Chizhou 247000, China |
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Abstract Objective: To explore the endoscopic papillary muscle of small incision (SEST) with balloon dilation (EPBD) therapy bravery to summarize the clinical efficacy and safety of the stone. Methods: From June 2015 to July 2018, 34 patients with choledocholithiasis treated in our hospital by SEST combined with EPBD were selected as SEST combined with EPBD group 46 patients treated by EST wereselected as EST group. The stone removal rate, stone size, pancreatitis, hyperamylasemia and cholangitis were compared between the two groups. The effect of SEST combined with EPBD was evaluated in the treatment of choledocholithiasis. The stone removal rate, stone size, pancreatitis, hyperamylasemia and cholangitis were compared between the two groups. Results: The results showed that the stone removal rate of EST group (97.83%) was higher than that of EST combined with EPBD group (97.06%) (P> 0.05). The stone diameter was significantly smaller than that of the SEST combined with EPBD group (P<0.05). The results showed that the level of serum amylase in EST group was higher than that in EST combined with EPBD at different time points, and it was the most obvious increase at 3 hours after operation, and it was decreased after 24 hours, the difference was statistically significant (P<0.05). In addition, gastrointestinal bleeding, PEP, hyperamylasemia and cholangitis occurred in both groups, and the total incidence of complications in EST group was higher than that in SEST combined with EPBD group (41.3%, 17.65%, χ 2 = 5.093, P<0.05). Conclusion: Compared with the simple EST treatment, the success rate of single stone removal is almost the same, but the stone removal diameter of SEST combined with EPBD is significantly larger than that of simple EST, and the postoperative complications are less. Therefore, SEST combined with EPBD is more effective and safe in the treatment of choledocholithiasis.
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2019, Vol. 25 
