| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Endoscopic management of common bile duct stones using double balloon endoscopy in postoperative patients: evaluation of single-session complete stone clearance. |
| 掲載誌名 | 正式名：Scandinavian journal of gastroenterology 略 称：Scand J Gastroenterol ISSNコード：15027708/00365521 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.Online ahead of print |
| 著者・共著者 | Takafumi Yuba, Takeshi Yamashina, Masaaki Shimatani, Tatsuya Nakagawa, Takuya Takayama, Haruka Toyonaga, Masahiro Orino, Hironao Matsumoto, Makoto Naganuma |
| 発行年月 | 2026/08 |
| 概要 | BACKGROUND:Endoscopic treatment of common bile duct (CBD) stones in patients with surgically altered anatomy is challenging because access to the duodenal papilla is often difficult. Although double balloon endoscopy-assisted ERCP (DB-ERCP) has become widespread, data on outcomes by reconstruction type remain limited.METHODS:A total of 218 patients treated between November 2016 and October 2024 were retrospectively reviewed. Among these, 212 patients were included: 159 with Roux-en-Y reconstruction (R group) and 53 with Billroth II reconstruction (B group). The primary endpoints were single-session complete stone clearance and procedure time.RESULTS:The single-session complete stone clearance rate was 94.8%, with no significant difference between groups. Procedure time was significantly longer in the R group than in the B group (66.0 vs. 50.0 min, p < 0.001). Multivariate analysis identified R group (p < 0.001), age ≥75 years (p = 0.007), and ≥5 stones (p = 0.018) as independent factors for prolonged procedure time. In addition, ≥5 stones independently reduced single-session complete stone clearance (p < 0.001). Adverse events occurred in 2.8%, including one perforation, four bleeding events, and one pancreatitis case. Only one patient required surgery.CONCLUSION:DB-ERCP achieved a high single-session complete stone clearance rate in patients with surgically altered anatomy, with outcomes comparable to those of conventional ERCP in patients with normal anatomy. These findings suggest that DB-ERCP may represent a first-line treatment option for CBD stones in surgically altered anatomy. |
| DOI | 10.1080/00365521.2026.2709623 |
| PMID | 42554260 |