دورية أكاديمية
What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla?
العنوان: | What Is the Value of the Learning Curve in Endoscopic Balloon Dilatation of the Major Papilla? |
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المؤلفون: | Eduardo Tavio-Hernandez, Enrique Vazquez-Sequeiros, Enrique Rodriguez-Santiago, Juan Angel Gonzalez-Martin, Jose Ramón Foruny-Olcina, Vicente Benita-Leon, Victor Defarges-Pons, Daniel Boixeda-Miquel, Agustin Albillos-Martínez |
المصدر: | Gastroenterology Research and Practice, Vol 2017 (2017) |
بيانات النشر: | Wiley, 2017. |
سنة النشر: | 2017 |
المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
مصطلحات موضوعية: | Diseases of the digestive system. Gastroenterology, RC799-869 |
الوصف: | Introduction. Endoscopic papillary large balloon dilatation (EPLBD) is an alternative for the treatment of common bile duct (CBD) stones. Existing evidence of factors associated with its outcomes is contradictory. Objective. To identify predictors (including the experience of an endoscopist) of success and adverse events in EPLBD. Methods. We reviewed the first 200 EPLBD with endoscopic sphincterotomy (EST) performed at our center. Demographic, clinical, and anatomic variables were studied, as well as the performance characteristics, correlating them with individual and group experience. Results. Global success was obtained in 87% of cases, and adverse events occurred in 16% of cases. Success was associated with stone size, CBD diameter, and the need to perform mechanical lithotripsy (ML). Despite that adverse events were not univariately associated with any factor, severe adverse events were more likely to occur in stones > 13.5 mm. Multivariate analysis which disclosed success was higher when ML was not required and stones were |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1687-6121 1687-630X |
Relation: | https://doaj.org/toc/1687-6121; https://doaj.org/toc/1687-630X |
DOI: | 10.1155/2017/6501485 |
URL الوصول: | https://doaj.org/article/b28008ef6cfd45578a78a08a6196d61d |
رقم الأكسشن: | edsdoj.b28008ef6cfd45578a78a08a6196d61d |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 16876121 1687630X |
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DOI: | 10.1155/2017/6501485 |