摘要
AIM： TO introduce a new method： small endoscopic sphincterotomy （ES） combined with endoscopic papillary large balloon dilation （SES ＋ EPLBD） to treat patients with large biliary stones.METHODS： Retrieval of large biliary stones was performed in 88 patients. Mean stone size was 14 ± 3 mm and mean number of stones was 2.5 ± 3.5. Firstly, ES with a small incision was performed. Next, endoscopic papillary dilation was performed with a large balloon to slowly match the size of the bile duct. Stones were then retrieved from the biliary duct with a balloon and a basket.RESULTS： Stone retrieval was successful in all cases except one cystic duct stone case without the need to crush large stones. Mean procedure time was 30 ± 5 min. Dilating the papillary orifice with a large balloon made it possible to remove large stones smoothly without crushing them. After dilation with the large balloon, there were some instances of oozing, but no perforations. One instance of post-procedural pancreatitis （1%） occurred. CONCLUSION： SES ＋ EPLBD was effective for the retrieval of large biliary stones without the use of mechanical lithotripsy.
瞄准：介绍一个新方法：小内视镜的括约肌切开术(ES ) 与内视镜的乳突的大汽球膨胀(SES + EPLBD ) 结合了与大胆汁的石头对待病人。方法：大胆汁的石头的检索在 88 个病人被执行。吝啬的石头尺寸是 3 公里和石头的吝啬的数字是的 14 +/- 2.5 +/- 3.5。第一，有一个小切口的 ES 被执行。下次，内视镜的乳突的膨胀与一个大汽球被执行慢慢地匹配胆汁管的尺寸。石头然后与一个汽球和一个篮子从胆汁的管被检索。结果：没有需要，石头检索在除了一个膀胱的管石头盒子的所有情况中是成功的压碎大石头。吝啬的过程时间是 30 +/- 5 min。与一个大汽球扩大乳突的孔使没有压碎他们，顺利移开大石头可能。在有大汽球的膨胀以后，有流着，而是没有穿孔的一些例子。procedural 以后胰腺炎(1%) 的一个例子发生了。结论：没有机械碎石术的使用， SES + EPLBD 为大胆汁的石头的检索是有效的。
