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World J Gastroenterol. Jun 28, 2013; 19(24): 3883-3891
Published online Jun 28, 2013. doi: 10.3748/wjg.v19.i24.3883
Published online Jun 28, 2013. doi: 10.3748/wjg.v19.i24.3883
Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy
Hong-Chuan Zhao, Liang He, Da-Chen Zhou, Xiao-Ping Geng, Department of General Surgery, the First Affiliated Hospital, Anhui Medical University, Hefei 230022, Anhui Province, China
Fa-Ming Pan, School of Public Health, Anhui Medical University, Hefei 230032, Anhui Province, China
Author contributions: Zhao HC and Geng XP designed the research; He L, Zhou DC and Zhao HC completed the literature searching; Pan FM, He L and Zhou DC analyzed the data; Zhao HC, He L and Zhou DC wrote the paper.
Correspondence to: Hong-Chuan Zhao, Associated Professor, Department of General Surgery, the First Affiliated Hospital, Anhui Medical University, 218 Jixi Road, Hefei 230022, Anhui Province, China. Zhc0117@sina.com
Telephone: +86-551-62923191 Fax: +86-551-62922026
Received: January 3, 2013
Revised: March 20, 2013
Accepted: March 28, 2013
Published online: June 28, 2013
Revised: March 20, 2013
Accepted: March 28, 2013
Published online: June 28, 2013
Core Tip
Core tip: A meta-analysis was performed to evaluate the outcomes of endoscopic sphincteropapillotomy (EST) and endoscopic papillary balloon dilatation (EPBD) from previously published reports. Fourteen randomized trials involving 1975 patients were analyzed. Of those, 980 were treated with EPBD and 995 were treated with EST. Differences were observed between the treatments in total stone clearance, short-term complications, and long-term complications. Compared to EST, the overall stone clearance rate was lower, and the incidence of pancreatitis was higher with EPBD. Thus, EPBD may decrease the incidence of long-term complications and be more suitable for patients who have a high risk of bleeding.