IS ENDOSCOPIC BALLOON DILATATION OF URETERAL STRICTURES AN ALTERNATIVE TO OPEN SURGERY?

2008 ◽  
Vol 179 (4S) ◽  
pp. 249-249
Author(s):  
Carina Schwaab ◽  
Dirk H Westermann ◽  
Martin Spahn ◽  
Detlef Frohneberg
Keyword(s):  
Balloon Dilatation ◽  
Open Surgery ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

scholarly journals Partial papillosphincterotomy with balloon dilatation in the treatment of choledocholytiasis in patients with parapapillary diverticulum

2021 ◽  
Vol 23 (1) ◽  
pp. 15-22
Author(s):  
Ivan A. Soloviev ◽  
Igor M. Musinov ◽  
Vladimir A. Koltsov
Keyword(s):  
Balloon Dilatation ◽  
Open Surgery ◽  
Bile Ducts ◽  
Suture Line ◽  
Endoscopic Balloon Dilatation ◽  
Mechanical Lithotripsy ◽  
Results Of Treatment ◽  
Significant Difference ◽  
Extrahepatic Bile Ducts ◽  
Endoscopic Balloon

Results of treatment of 42 patients suffering from choledocholytiasis and parapapillary diverticle are compared, by which for treatment limited papillosfincterotomy supplemented with endoscopic balloon dilatation is performed with results of treatment of 56 patients with similar pathology, by which traditional endoscopic papillosfincterotomy was performed. Limited papillosphincterotomy with endoscopic balloon dilatation resulted in complete lithoextraction in 92.9% of cases as compared to 92.8% with endoscopic papillosphincterotomy only; an adequate drainage of extrahepatic bile ducts was achieved in 100% and 96.4%, respectively (p 0.05). With endoscopic papillosphincterotomy, full removal of all concretions with a diameter of less than one centimeter was achieved without mechanical lithotripsy; for concretions from 1 to 1.5 cm in size the mechanical lithotripsy was necessary in 45.5% of cases. Limited papillosphincterotomy with endoscopic balloon dilatation allowed lithoextraction of concretions with a diameter of up to 1.5 cm without mechanical lithotripsy in all patients. The mechanical lithotripsy for concretions with a diameter above 1.5 cm was necessary in 60% of cases for both methods. In the treatment arm, two (4.8%) cases with complications were observed, while in the control arm there were 13 (23.2%) cases (p = 0.012). Acute pancreatitis was the only postoperative complication for which significant difference was observed (р = 0.043). In addition, after endoscopic papillosphincterotomy the incidence of bleeding from the suture line was 3.6% and the incidence of perforation of diverticula was 3.6%; this required an open surgery. The above mentioned demonstrates the advantages of limited papillosphincterotomy with endoscopic balloon dilatation over endoscopic papillosphincterotomy to resolve choledocholytiasis in the presence of parapapillary diverticulum.

Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema

2021 ◽  
pp. 000313482199508
Author(s):  
Dezarae R. Leto ◽  
Derek T. Clar ◽  
David A. Goodman
Keyword(s):  
Head And Neck ◽  
Chest Wall ◽  
Clinical Evaluation ◽  
Subcutaneous Emphysema ◽  
Balloon Dilatation ◽  
Soft Tissues ◽  
Bowel Resection ◽  
Bowel Perforation ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She underwent laparotomy and bowel resection and recovered well. Subcutaneous emphysema in the head and neck from perforated bowel is a rare but recognized presentation of viscus perforation.

scholarly journals Surgical procedure for unexpected balloon burst complication during endoscopic balloon dilatation in a patient with common bile duct stones

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Koji Morishita ◽  
Hideaki Sasaki
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Balloon Dilatation ◽  
Rare Complication ◽  
Common Bile Duct Stones ◽  
Endoscopic Retrograde ◽  
Case Presentation ◽  
Endoscopic Balloon Dilatation ◽  
Cbd Stones ◽  
Endoscopic Balloon

Abstract Background Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD. Case presentation A 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications. Conclusions We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.

Endoscopic balloon dilatation of biliary strictures

1985 ◽  
Vol 143 (5) ◽  
pp. 208-210 ◽  
Author(s):  
Ian R. Willett ◽  
Alan D. McCutcheon ◽  
Francis J. Dudley
Keyword(s):  
Balloon Dilatation ◽  
Biliary Strictures ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

Endoscopic Balloon Dilatation in the Treatment of Benign Ureteral Strictures: A Meta-Analysis and Systematic Review

2019 ◽  
Vol 33 (4) ◽  
pp. 255-262 ◽  
Author(s):  
Chaoyue Lu ◽  
Wei Zhang ◽  
Yonghan Peng ◽  
Ling Li ◽  
Xiaomin Gao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Balloon Dilatation ◽  
Meta Analysis ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon
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