Minor endoscopic sphincterotomy followed by large balloon dilation for large choledocholith treatment

Table 2 Outcomes of endoscopic papillary large balloon dilation + minor endoscopic sphincterotomy for stone removal compared with endoscopic sphincterotomy alone

Outcome	EPLBD + mEST	EST	P value
	n = 73	n = 76
Stone removal succeeded without MLT	68 (93.2)	62 (81.6)	0.0343
Procedure time in min	42.1 ± 13.6	47.3 ± 11.8	0.0128
Initial success	69 (94.5)	64 (84.2)	0.0421
Overall success	73 (100)	76 (100)	-
ENBD placement time in d	2.6 ± 0.7	2.5 ± 0.6	0.3990
Duration of hospital stay in d	5.1 ± 2.2	5.7 ± 1.9	0.0753
Early complications	8 (11.0)	16 (21.1)	0.0938
PEP	6 (8.2)	7 (9.2)	0.8303
Mild	6	7	0.8303
Moderate	0	0	-
Severe	0	0	-
Cholangitis	1 (1.4)	3 (4.0)	0.6411
Hemorrhage		0	-
Intraprocedural	1 (1.4)	6 (7.9)	0.1351
Post-procedural	0	0	-
Perforation	0	0	-
Late complications	4 (5.5)	4 (5.2)	0.7604
Recurrence of cholangitis	0	1 (1.3)	1.0000
Recurrence of CBD stones	4 (5.5)	3 (3.9)	0.9565
CBD stricture	0	0	-
Duration of follow-up in mo	14.1 ± 5.5	12.9 ± 5.5	0.2140
Cholecystectomy	5 (6.8)	7 (9.2)	0.5965
Loss to follow-up	0	0	-
Death	0	0	-

Data are presented as n (%) or mean ± SD. CBD: Common bile duct; ENBD: Endoscopic nasobiliary drainage; EPLBD: Endoscopic papillary large balloon dilation; EST: Endoscopic sphincterotomy; mEST: Minor endoscopic sphincterotomy; MLT: Mechanical lithotripsy; PEP: Post-endoscopic retrograde cholangiopancreatography pancreatitis.