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World J Gastroenterol. Dec 28, 2013; 19(48): 9453-9460
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9453
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9453
Endoscopic sphincterotomy plus large-balloon dilation vs endoscopic sphincterotomy for choledocholithiasis: A meta-analysis
Xiao-Ming Yang, Bing Hu, Department of Endoscopy, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
Author contributions: Hu B designed the study and revised the paper; Yang XM wrote the paper.
Correspondence to: Bing Hu, MD, PhD, Department of Endoscopy, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, 225 Changhai Road, Shanghai 200438, China. drhubing@aliyun.com
Telephone: +86-21-81875221 Fax: +86-21-35030072
Received: August 16, 2013
Revised: September 27, 2013
Accepted: December 13, 2013
Published online: December 28, 2013
Revised: September 27, 2013
Accepted: December 13, 2013
Published online: December 28, 2013
Core Tip
Core tip: This meta-analysis demonstrates that endoscopic sphincterotomy (EST) plus large-balloon dilation (LBD) is an effective approach for the removal of large bile duct stones. Specifically, when compared with the outcomes of EST alone, the combined technique is associated with fewer complications. Furthermore, use of mechanical lithotripsy in the EST plus LBD group decreased significantly, especially in patients with a stone size larger than 15 mm. However, more well-designed trials are required to clarify whether this combined technique is preferable.