این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Middle East Journal of Digestive Diseases، جلد ۱۱، شماره ۴، صفحات ۲۰۶-۲۱۱
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Consequences of Stenting and Endoscopic Papillary Balloon Dilatation in Treatment of Large and Multiple Common Bile Duct Stones
چکیده انگلیسی مقاله BACKGROUND: Although stenting for the treatment of large and multiple common bile duct stones has been acceptable to everyone, its efficacy and outcome have not been studied in comparison with other endoscopic procedures. The purpose of this study was to compare the consequences of stenting and endoscopic papilla balloon dilatation for the treatment of large and multiple common bile duct stones. METHODS: In a double-blind clinical trial, of 431 patients with bile duct stones referred to the treatment center, 64 patients with multiple common bile duct stones (≥3) and more than 15 cm were selected for the study, then by random allocation rule the participants were allocated in two groups. They were entered into two different endoscopic papillary balloon dilatation (EPBD) and common bile ducts stenting treatments so that both procedures were performed by a person. Both groups were assessed from the point of views therapeutic outcomes such as duct cleaning, pancreatitis, isolated pain, and duct rupture. Data were collected by a self-made questionnaire that was used before and after the procedure to obtain the needed information. Then data were analyzed using SPSS software version 22 and descriptive and analytical tests were used as appropriated. RESULTS: Although the duct cleaning and the complete removal of the stones in the stenting treatment procedure was 93.8%, and in EPBD was 78.3%, no significant difference was observed between the two groups ( p =0.14). Pancreatitis significantly increased after the first and second endoscopic retrograde cholangiopancreatography (ERCP) in the stent group compared with EPBD ( p =0.02). Also, the most frequent cases of isolated pain were in the endoscopic group EPBD ( p =0. 0). However, the occurrence of perforation after first ERCP and EPBD was zero, but in the second stage of ERCP, 3.3% of the patients had perforations ( p = 0.99). The results indicated that the shape of the stone (circular and angled) was not effective in the result of treatment in the two groups. CONCLUSION: The results of this study indicated that in case of experience and skill in conducting the ERCP, common bile duct stenting is still the first line of treatment for large and multiple stones of the common bile ducts. KEYWORDS: s CBD stone, Endoscopic treatment of EPBD, CBD stenting, ERCP
کلیدواژه‌های انگلیسی مقاله CBD stone, Endoscopic treatment of EPBD, CBD stenting, ERCP
نویسندگان مقاله | Ahmad Hormati
Professor, Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran


| Mohammad Reza Ghadir
Assistant Professor ,Faculty Of Nursing & Midwifery, Midwifery ,Shahrekord University of Medical Sciences, Shahrekord, Iran


| Ali Hasanpour dehkordi
medical resident , medical college , Shahrekord University of Medical Sciences, Shahrekord


| Farshad Yadolahi
Assistant Professor ,Faculty Of Nursing & Midwifery Shahrekord University of Medical Sciences, Shahrekord, Iran


| Shahriar Salehitali
MSc of Health Information Technology of Tehran University of Medical Sciences, Tehran, Iran


| Mahboobeh Afifian


نشانی اینترنتی http://mejdd.org/index.php/mejdd/article/view/2065
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/332/article-332-1989745.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Original Article
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات