Sequential endoscopic papillary balloon dilatation following limited sphincterotomy for common bile duct stones.


:Endoscopic papillary balloon dilatation (EPBD) has been recently used in conjunction with endoscopic sphincterotomy (EST) for the removal of common bile duct (CBD) stones. The present study was aimed at assessing the safety and outcome of sequential EPBD following EST for CBD stones. A total of 74 patients (43 females, mean age 41 years) with > or = 10-mm stone(s) in the CBD were selected for the procedure, which included limited EST followed by EPBD with balloon dilators of 10-18 mm in size. Eleven patients had undergone EST and unsuccessful stone removal earlier. Forty-nine patients had symptoms of CBD stones, while 25 were detected on imaging. Eleven patients had previous CBD stent in situ and four had T-tube in situ. The stone size was 10-12 mm in 34, 13-14 mm in 26, and > or = 15 mm in 14 patients. Thirty-one patients had a single stone, while 43 had > or = 2 stones. The successful removal of stones was achieved in 68 (91.9%) patients; 62 in the first attempt, five in the second, and one in the third. Six patients were deemed to be "failures." In two of them, the stones could be removed after mechanical lithotripsy. Complications were seen in 16 patients, with self-limiting pain in 13, self-limiting ooze in five, melaena in one, and mild pancreatitis in two. One patient had impaction of the dormia basket. We conclude that EPBD following EST is safe and effective in removing stones > or = 10 mm in size in over 90% of patients.


Dig Dis Sci


Kochhar R,Dutta U,Shukla R,Nagi B,Singh K,Wig JD




Has Abstract


2009-07-01 00:00:00












  • Measurement of segmental transit through the gut in man. A novel approach by the biomagnetic method.

    abstract::The techniques commonly used to evaluate the transit of contents through the gut feature some limitations for being either inaccurate, invasive, inconvenient, or potentially dangerous for the subjects. Aim of this study was to establish a safe, noninvasive and accurate technique for the measurement of segmental oroana...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Basile M,Neri M,Carriero A,Casciardi S,Comani S,Del Gratta C,Di Donato L,Di Luzio S,Macri MA,Pasquarelli A

    更新日期:1992-10-01 00:00:00

  • Effects of octreotide and erythromycin on gastric myoelectrical and motor activities in patients with gastroparesis.

    abstract::Simultaneous recordings of gastric manometry and myoelectrical activity were made in 10 patients with gastroparesis. Intravenous erythromycin (100 mg) was administered in the fasting state for a period of 30 min. Subcutaneous injection of octreotide (100 microg) was administered before one of the four identical test m...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Chen JD,Lin ZY,Edmunds MC 3rd,McCallum RW

    更新日期:1998-01-01 00:00:00

  • Irritable bowel syndrome. Still far from a positive diagnosis.

    abstract::The diagnosis of irritable bowel syndrome requires the exclusion of any associated organic disease: a positive diagnosis would avoid expensive and potentially dangerous diagnostic procedures. A scoring system has been proposed for positive diagnosis where more than 44 points excluded organic digestive disease. The aim...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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  • A molecular analysis of fecal and mucosal bacterial communities in irritable bowel syndrome.

    abstract:PURPOSE:The objectives of this study were, firstly, to determine the diversity of the host's gut microbiota in irritable bowel syndrome (IBS) using a culture-independent method (DGGE of the 16S rRNA gene) and, secondly, to examine mucosal biopsies of IBS patients and compare them to their own fecal microbiota. METHODS...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Codling C,O'Mahony L,Shanahan F,Quigley EM,Marchesi JR

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  • Participation of capsaicin-sensitive afferent nerves in the gastric mucosa of patients with Helicobacter pylori-positive or-negative chronic gastritis.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Dömötör A,Kereskay L,Szekeres G,Hunyady B,Szolcsányi J,Mózsik G

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Luo X,Liu Y,Ma S,Liu L,Xie R,Wang S

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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  • High prevalence of heartburn and low acid sensitivity in patients with idiopathic achalasia.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Swaminath A,Lebwohl B,Capiak KM,Present DH

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Tanaka F,Takashima S,Nadatani Y,Otani K,Hosomi S,Kamata N,Taira K,Nagami Y,Tanigawa T,Fukumoto S,Watanabe T,Murakami Y,Kawada N,Fujiwara Y

    更新日期:2020-12-01 00:00:00

  • Double balloon enteroscopy detects small bowel mass lesions missed by capsule endoscopy.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,多中心研究


    authors: Ross A,Mehdizadeh S,Tokar J,Leighton JA,Kamal A,Chen A,Schembre D,Chen G,Binmoeller K,Kozarek R,Waxman I,Dye C,Gerson L,Harrison ME,Haluszka O,Lo S,Semrad C

    更新日期:2008-08-01 00:00:00

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    更新日期:1995-11-01 00:00:00

  • Production of a polar metabolite of 1,25-dihydroxyvitamin D3 in a rat liver perfusion system.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Kumar R,Nagubandi S,Londowski JM

    更新日期:1981-03-01 00:00:00

  • Intestinal disaccharidases assessed in congenital asucrasia by differential urinary disaccharide excretion.

    abstract::A patient with congenital asucrasia was investigated using in vivo differential urinary disaccharide excretion. Impaired hydrolysis of sucrose and isomaltose, but normal lactase activity, were demonstrated and confirmed by in vitro estimation. The technique of differential disaccharide excretion can now be used to ass...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Maxton DG,Catt SD,Menzies IS

    更新日期:1989-01-01 00:00:00

  • Knockdown of Long Non-coding RNA LINC00200 Inhibits Gastric Cancer Progression by Regulating miR-143-3p/SERPINE1 Axis.

    abstract:BACKGROUND:An increasing number of studies have found that long non-coding RNAs (lncRNAs) play an important role in carcinogenesis and tumor progression, whereas their molecular mechanisms of function remain largely unknown. AIMS:This study was aimed to explore the biological function and underlying mechanism of a new...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: He W,Zhang D,Li D,Zhu D,Geng Y,Wang Q,He J,Wu J

    更新日期:2020-11-03 00:00:00

  • Diagnostic Delay Is Associated with a Greater Risk of Early Surgery in a French Cohort of Crohn's Disease Patients.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Nahon S,Lahmek P,Paupard T,Lesgourgues B,Chaussade S,Peyrin-Biroulet L,Abitbol V

    更新日期:2016-11-01 00:00:00

  • A rare gastric outlet anomaly: pyloric ostium on incissura angularis.

    abstract::Congenital gastric outlet anomalies are rarely seen defects resulting from early embryologic development of foregut. We report a case of congenital pyloric outlet anomaly in a 60-year-old man with mild postprandial epigastric discomfort of approximately 3 months' duration. Endoscopic examination of the stomach showed ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Uraz S,Aygün C,Konduk T,Celebi A,Sentürk O,Hülagü S

    更新日期:2007-04-01 00:00:00

  • Comparative effectiveness research of chronic hepatitis B and C cohort study (CHeCS): improving data collection and cohort identification.

    abstract:BACKGROUND AND AIMS:The Chronic Hepatitis Cohort Study (CHeCS) is a longitudinal observational study of risks and benefits of treatments and care in patients with chronic hepatitis B (HBV) and C (HCV) infection from four US health systems. We hypothesized that comparative effectiveness methods-including a centralized d...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Lu M,Rupp LB,Moorman AC,Li J,Zhang T,Lamerato LE,Holmberg SD,Spradling PR,Teshale EH,Vijayadeva V,Boscarino JA,Schmidt MA,Nerenz DR,Gordon SC

    更新日期:2014-12-01 00:00:00

  • Hospital Cirrhosis Volume and Readmission in Patients with Cirrhosis in California.

    abstract:BACKGROUND:Patients with cirrhosis are at high readmission risk. Using a large statewide database, we evaluated the effect of hospital cirrhosis-related patient volume on 30-day readmissions in patients with cirrhosis. METHODS:We conducted a retrospective study of the Healthcare Cost and Utilization Project State Inpa...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Wei M,Ford J,Li Q,Jeong D,Kwong AJ,Nguyen MH,Chang MS

    更新日期:2018-09-01 00:00:00

  • Antiglycan antibodies in Greek patients with inflammatory bowel disease.

    abstract:BACKGROUND:Antiglycan antibodies have recently been reported to be associated with Crohn's disease (CD). These antibodies include anti-Saccharomyces cerevisiae mannan antibodies (ASCA), anti-laminariobioside carbohydrate antibodies (ALCA), anti-chitobioside carbohydrate antibodies (ACCA), and anti-mannobioside carbohyd...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Koutroubakis IE,Drygiannakis D,Tsirogianni A,Oustamanolakis P,Karmiris K,Papamichael K,Mantzaris GJ,Kouroumalis EA

    更新日期:2011-03-01 00:00:00

  • Hepatic stimulator substance alleviates toxin-induced and immune-mediated liver injury and fibrosis in rats.

    abstract:BACKGROUND:Liver fibrosis is a common scarring response to chronic liver injury. It is a precursor to cirrhosis and liver carcinoma. Hepatic stimulator substance (HSS), a known liver-specific but species-nonspecific growth factor, has been shown to protect hepatocytes from various toxins. METHODS:We have investigated ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Yi X,Song M,Yuan Y,Zhang X,Chen W,Li J,Tong M,Liu G,You S,Kong X

    更新日期:2012-08-01 00:00:00

  • Antibacterial action of selenium-enriched probiotics against pathogenic Escherichia coli.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Yang J,Huang K,Qin S,Wu X,Zhao Z,Chen F

    更新日期:2009-02-01 00:00:00

  • Differential distribution of human epidermal growth factor receptor family in acute pancreatitis.

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    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Ebert M,Friess H,Büchler MW,Korc M

    更新日期:1995-10-01 00:00:00

  • Action of ethanol on gastrin release in the dog.

    abstract::In conscious dogs with gastric and duodenal Thomas fistulas, we studied the effect of ethanol on plasma concentrations of gastrin. Ethanol was given either as an infusion into a peripheral vein (1.95 M, 200 ml/hr) or into the duodenum (0.95 M, 400 ml/hr) or as an intragastric bolus injection. The effect of the intraga...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


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    更新日期:1984-01-01 00:00:00

  • Effect of casein-derived peptides on D-xylose absorption assessed by H2 breath test in normal volunteers.

    abstract::Studies have shown a promoting effect of food on small intestinal absorption. Casein hydrolysate seems be more effective in increasing of D-xylose absorption in dogs than the whole protein and lactulose. The purpose this study was to analyze the effect of groups of peptides derived from casein hydrolysate on the absor...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章


    authors: Defilippi C,Madrid AM,Salas K,Michea L,Lagos N

    更新日期:2000-04-01 00:00:00