{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:35:06Z","timestamp":1790199306124,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic sphincterotomy (ES) for bile duct stones (BDS) can cause basket impaction with stone, complicating the procedure. In this study, we evaluated the utility and safety of small incision ES combined with endoscopic papillary balloon dilation (sES\u2009+\u2009EPBD) (balloon dilated up to the stone size), compared with ES alone for BDS &lt;12\u2009mm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The primary endpoint was the frequency of mechanical lithotripsy (ML), indicating the risk of basket impaction with stone; however, the secondary endpoints were procedure time, successful stone removal, and early adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 100 patients were randomized into the ES and sES\u2009+\u2009EPBD groups (<jats:italic>n<\/jats:italic>\u2009=\u200950 for each). Significantly fewer cases required ML (20.0% vs. 4.0%, <jats:italic>p<\/jats:italic>\u2009=\u2009.028) in the sES\u2009+\u2009EPBD group. The maximum short\u2010axis diameter of the stones in all patients requiring ML in the ES group ranged from 8 to 11\u2009mm. The median procedure time was significantly shorter (18.5\u2009min vs. 17\u2009min, <jats:italic>p<\/jats:italic>\u2009=\u2009.047) in the sES\u2009+\u2009EPBD group. Both groups showed similar frequencies of successful stone removal in one session (88.0% vs. 98.0%, <jats:italic>p<\/jats:italic>\u2009=\u2009.112) and early adverse events (4.0% vs. 2.0%, <jats:italic>p<\/jats:italic>\u2009=\u2009.62).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In cases of small BDS, sES\u2009+\u2009EPBD exhibits a low frequency of ML, which shortens procedure time and prevents basket impaction with stones.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.12097","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T02:33:32Z","timestamp":1733970812000},"page":"160-167","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Utility and safety of endoscopic papillary balloon dilation with small\u2010incision sphincterotomy for small bile duct stones: A randomized controlled trial"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8229-1136","authenticated-orcid":false,"given":"Yuki","family":"Ishida","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"},{"name":"Department of Gastroenterology Matsumoto Kyoritsu Hospital  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8220-7595","authenticated-orcid":false,"given":"Takeshi","family":"Hisa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryusuke","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Obihiro Kosei Hospital  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeru","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiharu","family":"Kudo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shozo","family":"Osera","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihisa","family":"Tomori","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saku Central Hospital Advanced Care Center  Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.05.017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i24.3883"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2017.07.038"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0818-3638"},{"key":"e_1_2_9_6_1","first-page":"1607","article-title":"Examination of the shapes of the end of the common bile ducts after endoscopic sphincterotomy (EST) (in Japanese with English abstract). Nippon Syokakibyo Gakkai Zasshi","volume":"104","author":"Sakai Y","year":"2007","journal-title":"Jpn J Gastroenterol"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.SJG_162_20"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09436-y"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.49.5.686"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12183"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.13184"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.512"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(91)70740-2"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2003.56"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)11026-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1746.1999.01798.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200206000-00008"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2003.09.014"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(04)00157-9"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-006-1969-9"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-013-2949-6"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.03.1953"},{"key":"e_1_2_9_23_1","first-page":"5753","article-title":"Clinical research for delayed hemorrhage after endoscopic sphincterotomy","volume":"8","author":"Wang Y","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-120225"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-15307"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.52.8.1165"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2004.07.017"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-015-3559-2"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.12097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T22:27:16Z","timestamp":1740522436000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.12097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,11]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/jhbp.12097"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.12097","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,11]]},"assertion":[{"value":"2024-12-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}