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 EPBD | Overall () | Group A () | Group B () | value |
| Time from admission to initial ERCP (days) | 3.3 ± 2.4 | 3.4 ± 2.5 | 2.8 ± 1.5 | 0.08 | Juxtapapillary diverticulum | 55 (30.1%) | 49 (31.6%) | 6 (21.4%) | 0.28 | Dilated CBD | 159 (86.9%) | 136 (87.7%) | 23 (82.1%) | 0.42 | Mean size of CBD (mm) | 11.8 ± 4.2 | 11.9 ± 4.0 | 11.5 ± 5.0 | 0.75 | Positive filling defects within CBD | 149 (81.4%) | 130 (83.9%) | 19 (67.9%) | 0.23 | Mean size of CBD filling defects (mm) | 6.8 ± 4.6 | 6.9 ± 4.7 | 6.0 ± 3.3 | 0.14 | Dilating balloon size (mm) | 10.5 ± 1.8 | 10.6 ± 1.9 | 9.9 ± 1.3 | 0.04 | Dilating procedure duration (min) | 4.3 ± 1.1 | 4.3 ± 1.1 | 4.3 ± 1.0 | 0.95 | Gross stone retrieved from CBD | 124 (67.8%) | 108 (69.7%) | 16 (57.1%) | 0.19 | Pancreatic duct injection | 93 (50.8%) | 74 (47.7%) | 19 (67.9%) | 0.05 | Number of mechanical lithotripsies | 2 (1.1%) | 2 (1.3%) | 0 (0.0%) | 0.72 | Treatment success | | | | | First session | 179 (97.8%) | 151 (97.4%) | 28 (100%) | 0.51 | Second session | 4 | 4 | 0 | |
| Procedure-related adverse events | 4 (2.2%) | 3 (1.9%) | 1 (3.6%) | 0.49 | Exacerbation of pancreatitis | 2 | 1 | 1 | | Cholangitis | 1 | 1 | 0 | | Cholecystitis | 1 | 1 | 0 | | Intraprocedure bleeding | 2 (1.1%) | 2 (1.3%) | 0 (0.0%) | 0.72 | Evolution of laboratory data after EPBD | | | | | Amylase: increase/decrease | 17 (9%)/166 (91%) | 15 (10%)/140 (90%) | 2 (7%)/26 (93%) | 0.67 | Total bilirubin: increase/decrease | 31 (17%)/152 (83%) | 28 (18%)/127 (82%) | 3 (11%)/25 (89%) | 0.34 | Time to resume oral intake after EPBD (days) | 1.4 ± 0.9 | 1.4 ± 0.9 | 1.5 ± 0.9 | 0.87 | Total hospital day (days) | 9.2 ± 4.5 | 9.1 ± 4.5 | 9.6 ± 4.3 | 0.63 |
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EPBD, endoscopic papillary balloon dilation; ERCP, endoscopic retrograde cholangiopancreatography; CBD, common bile duct.
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