RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/a-1905-0251
Outcomes of balloon vs basket catheter for clearance of choledocholithiasis: a systematic review and meta-analysis
Abstract
Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is the mainstay for treatment of choledocholithiasis. It is unclear whether balloon or basket catheters are better for extraction of stones ≤ 10 mm in size. We performed a meta-analysis of studies comparing rates of complete stone extraction and adverse events after ERCP using balloon vs basket catheters for bile duct stones ≤ 10 mm in size.
Methods Cochrane database, PubMed, Web of Science, and Embase were searched from inception to October 2021. Randomized control trials comparing outcomes of balloon vs basket catheter were included. Data extraction of articles was carried out by two authors using predefined inclusion criteria. Metanalysis was carried out using the Revman 5.4.1. software using a random-effects model.
Results Three studies with a total of 508 patients were included in the final analysis. For common bile duct stones ≤ 10 mm, balloon catheters had higher complete stone clearance rates than basket catheters (relative risk 1.1, confidence interval 1.03, 1.18, P = 0.006). Heterogeneity among studies was low (Tau2 = 0.0; P = 0.47, I2 = 0 %). There was no difference in the rate of complications.
Conclusions Meta-analysis of three studies indicates that balloon catheters have a higher success rate compared to basket catheters for complete stone extraction for choledocholithiasis ≤ 10 mm with no significant difference in the rate of complications.
Publikationsverlauf
Eingereicht: 28. Februar 2022
Angenommen nach Revision: 18. Juli 2022
Accepted Manuscript online:
20. Juli 2022
Artikel online veröffentlicht:
15. November 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Seitz U, Bapaye A, Bohnacker S. et al. Advances in therapeutic endoscopic treatment of common bile duct stones. World J Surg 1998; 22: 1133-1144
- 2 Maple JT, Ikenberry SO. et al. ASGE Standards of Practice Committee. The role of endoscopy in the management of choledocholithiasis. Gastrointest Endosc 2011; 74: 731-744
- 3 McCune WS, Shorb PE, Moscovitz H. Endoscopic cannulation of the ampulla of vater: a preliminary report. Ann Surg 1968; 167: 752-756
- 4 Classen M, Demling L. [Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct (author's transl)]. Dtsch Med Wochenschr 1974; 99: 496-497
- 5 Kawai K, Akasaka Y, Murakami K. et al. Endoscopic sphincterotomy of the ampulla of Vater. Gastrointest Endosc 1974; 20: 148-151
- 6 Kröner PT, Bilal M, Samuel R. et al. Use of ERCP in the United States over the past decade. Endosc Int Open 2020; 8: E761-E769
- 7
Manes G,
Paspatis G,
Aabakken L.
et al. Endoscopic management of common bile duct stones: European Society of Gastrointestinal
Endoscopy (ESGE) guideline. Endoscopy 2019; 51: 472-491
MissingFormLabel
- 8 Angsuwatcharakon P, Rerknimitr R. Cracking difficult biliary stones. Clin Endosc 2021; 54: 660-668
- 9 Ekmektzoglou K, Apostolopoulos P, Dimopoulos K. et al. Basket versus balloon extraction for choledocholithiasis: a single center prospective single-blind randomized study. Acta Gastroenterol Belg 2020; 83: 577-584
- 10 Ozawa N, Yasuda I, Doi S. et al. Prospective randomized study of endoscopic biliary stone extraction using either a basket or a balloon catheter: the BasketBall study. J Gastroenterol 2017; 52: 623-630
- 11 Itoi T, Wang HP. Endoscopic management of bile duct stones. Dig Endosc 2010; 22: S69-S75
- 12 Takeshita K, Asai S, Fujimoto N. et al. Comparison of the effects of retrieval balloons and basket catheters for bile duct stone removal on the rate of post-ERCP pancreatitis. Hepatobiliary Pancreat Dis Int 2021; 20: 203-204
- 13 Choo L, Cho SS, Bell CJ. et al. Extraction balloon is superior to wire basket technique in the management of CBD stones less than or equal to 10 mm – Preliminary results of a prospective, randomised trial. Gastrointestinal Endoscopy 2011; 73: AB357
- 14 Ishiwatari H, Kawakami H, Hisai H. et al. Balloon catheter versus basket catheter for endoscopic bile duct stone extraction: a multicenter randomized trial. Endoscopy 2016; 48: 350-357
- 15 Chandrasekhara V, Khashab MA. ASGE Standards of Practice Committee. et al. Adverse events associated with ERCP. Gastrointest Endosc 2017; 85: 32-47
- 16
Cotton PB,
Eisen GM,
Aabakken L.
et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest
Endosc 2010; 71: 446-454
MissingFormLabel
- 17 Yasuda I. Novel retrieval basket for small bile duct stones. Dig Endosc 2015; 27: 712
- 18 Binmoeller KF, Schafer TW. Endoscopic management of bile duct stones. J Clin Gastroenterol 2001; 32: 106-118
- 19 Mutignani M, Shah SK, Foschia F. et al. Transnasal extraction of residual biliary stones by Seldinger technique and nasobiliary drain. Gastrointest Endosc 2002; 56: 233-238
- 20 Itoi T, Sofuni A, Itokawa F. et al. Evaluation of residual bile duct stones by peroral cholangioscopy in comparison with balloon-cholangiography. Dig Endosc 2010; 22: S85-S89
- 21 Kadayifci A, Cemil Savas M. Do we overestimate the performance of the basket catheter for stone removal if the bile duct is swept with a balloon?. Endoscopy 2016; 48: 867