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The investigators hypothesized that nipple balloon dilatation could make ERCP more successful and reduce postoperative complications and mortality. So the investigators design this experiment on this assumption.
The incidence of periampullary diverticula in patients with choledocholithiasis is very high at 47.1%. A large number of literatures refered that duodenal papillary diverticulum is a high risk factor for postoperative complications and recurrence of choledocholithiasis . Till now, there have been no randomized controlled trials to explore the effect of nipple balloon dilatation (EPLBD) on the treatment and prognosis of patients with choledocholithiasis complicated with periampullary diverticula (found during ERCP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EPBD | Experimental | Small incision of the duodenal nipple + EPBD |
|
| EST | Active Comparator | Large incision of the duodenal nipple |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EPBD | Procedure | Small incision of the duodenal nipple + EPBD |
| |
| EST |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of complications | total complications occurded after operation | 1 month |
| time of operation | duration of the ERCP | 1-4 hours |
| postoperative recurrent rate | Recurrence rate of choledocholithiasis | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qiong Gong, Doctor | Contact | +8618086496360 | gongq2019@163.com | |
| Z'hong'chao Zhu, Doctor | Contact | +8613995617151 | zhuzhongchao@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renmin Hospital of Wuhan University | Recruiting | Wuhan | Hubei | 430060 | China |
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| Procedure |
Large incision of the duodenal nipple + EPBD |
|