Outcomes of balloon vs basket catheter for clearance of choledocholithiasis: A systematic review and meta-analysis

Aim: 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 2 authors using predefined inclusion criteria. Metanalysis was carried out using the Revman 5.4.1. software using a random-effects model. Results: 3 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. Conclusion: Meta-analysis of 3 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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Outcomes of balloon vs basket catheter for clearance of choledocholithiasis: A systematic review and meta-analysis ; day:20 ; month:07 ; year:2022
Endoscopy International Open ; (20.07.2022)

Contributor
Sharma, Ruchi
Sharma, Vikram
Singhal, Umang
Sanaka, Madhusudhan

DOI
10.1055/a-1905-0251
URN
urn:nbn:de:101:1-2022101017264683547692
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:29 AM CEST

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Associated

  • Sharma, Ruchi
  • Sharma, Vikram
  • Singhal, Umang
  • Sanaka, Madhusudhan

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