Research Article

The Efficacy of Endoscopic Papillary Balloon Dilation for Patients with Acute Biliary Pancreatitis

Table 2

Results of EPBD and clinical parameters in overall patients and comparisons between mild (A) and severe (B) degree of acute biliary pancreatitis.

Results of EPBDOverall ()Group A ()Group B () value

Time from admission to initial ERCP (days)3.3 ± 2.43.4 ± 2.52.8 ± 1.50.08
Juxtapapillary diverticulum55 (30.1%)49 (31.6%)6 (21.4%)0.28
Dilated CBD159 (86.9%)136 (87.7%)23 (82.1%)0.42
Mean size of CBD (mm)11.8 ± 4.211.9 ± 4.011.5 ± 5.00.75
Positive filling defects within CBD149 (81.4%)130 (83.9%)19 (67.9%)0.23
Mean size of CBD filling defects (mm)6.8 ± 4.66.9 ± 4.76.0 ± 3.30.14
Dilating balloon size (mm)10.5 ± 1.810.6 ± 1.99.9 ± 1.30.04
Dilating procedure duration (min)4.3 ± 1.14.3 ± 1.14.3 ± 1.00.95
Gross stone retrieved from CBD124 (67.8%)108 (69.7%)16 (57.1%)0.19
Pancreatic duct injection93 (50.8%)74 (47.7%)19 (67.9%)0.05
Number of mechanical lithotripsies2 (1.1%)2 (1.3%)0 (0.0%)0.72
Treatment success
 First session179 (97.8%)151 (97.4%)28 (100%)0.51
 Second session440

Procedure-related adverse events4 (2.2%)3 (1.9%)1 (3.6%)0.49
 Exacerbation of pancreatitis211
 Cholangitis110
 Cholecystitis110
Intraprocedure bleeding2 (1.1%)2 (1.3%)0 (0.0%)0.72
Evolution of laboratory data after EPBD
 Amylase: increase/decrease17 (9%)/166 (91%)15 (10%)/140 (90%)2 (7%)/26 (93%)0.67
 Total bilirubin: increase/decrease31 (17%)/152 (83%)28 (18%)/127 (82%)3 (11%)/25 (89%)0.34
Time to resume oral intake after EPBD (days)1.4 ± 0.91.4 ± 0.91.5 ± 0.90.87
Total hospital day (days)9.2 ± 4.59.1 ± 4.59.6 ± 4.30.63

EPBD, endoscopic papillary balloon dilation; ERCP, endoscopic retrograde cholangiopancreatography; CBD, common bile duct.