EPBD combined ERBD for benign common bile duct stricture: an analysis of 31 cases

Objective To evaluate the efficacy of endoscopy for benign common bile duct stricture.Methods 31 patients with benign common bile duct stricture were retrospectively analyzed.Patients who were hospitalized due to obstructive jaundice, abdominal pain and diagnosed based on medical history, computed tomography (CT) and magnetic resonance imaging (MRI) findings, laboratory test results, were treated by endoscopic papillo-sphincter balloon dilation (EPBD) and endoscopic retrograde biliary drainage (ERBD) .The patients were evaluated by the Bismuth criterion.Results 31 patients were underwent EPBD and ERBD, and the effective rate was 96.77%.30 patients were followed up, among which 27 patients were without recurrence and 3 patients were with recurrence in half a year, of which 2 cases were with chronic pancreatitis and 1 previously underwent resection of the gallbladder.The stent indwelling time of the 3 patients were 6 months.Conclusion EPBD combined ERBD treatment on benign common bile duct stricture is safe and effective.The efficacy is associated with the cause of strictures and the indwelling time of stents.