Endoscopic Papillary Large Balloon Dilation Reduces the Need for Mechanical Lithotripsy in Patients with Large Bile Duct Stones: A Systematic Review and Meta-Analysis

<table class="table-group" id="tab4"><tr><td><table class="table"><tr><td class="thead-hr" colspan="4"><hr/></td></tr><tr class="thead"><td align="left"> </td><td align="center"> </td><td align="center">Relative risk (EPLBD + ES versus ES), (95% CI)</td><td align="center"> </td></tr><tr class="thead"><td align="left"> </td><td align="center">Retrospective studies</td><td align="center">Randomized clinical trials</td><td align="center">Combined</td></tr><tr><td class="thead-hr" colspan="4"><hr/></td></tr><tr><td align="left">Overall clearance of bile duct stone</td><td align="center">1.06 (0.95, 1.01)</td><td align="center">0.98 (0.97, 1.01)</td><td align="center">1.01 (0.97, 1.05)</td></tr><tr><td align="left">Clearance of the stones at 1st session</td><td align="center">1.29 (1.01, 1.46)</td><td align="center">0.99 (0.91, 1.07)</td><td align="center">1.11 (0.98, 1.25) </td></tr><tr><td align="left">Need for ML</td><td align="center">0.31 (0.22, 0.44)</td><td align="center">0.73 (0.52, 1.03)</td><td align="center">0.49 (0.32, 0.74)</td></tr><tr><td align="left">Overall complication rate</td><td align="center">0.57 (0.36, 0.91)</td><td align="center">0.59 (0.36, 0.95)</td><td align="center">0.58 (0.41, 0.81)</td></tr><tr class="table-tr"><td colspan="4"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Sensitivity analysis of the primary and secondary outcomes stratified by the type of the studies.

Diagnostic and Therapeutic Endoscopy

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Table 4

Table 4: Endoscopic Papillary Large Balloon Dilation Reduces the Need for Mechanical Lithotripsy in Patients with Large Bile Duct Stones: A Systematic Review and Meta-Analysis 

Table 4 | Endoscopic Papillary Large Balloon Dilation Reduces the Need for Mechanical Lithotripsy in Patients with Large Bile Duct Stones: A Systematic Review and Meta-Analysis 