Endoscopic papillary balloon dilation: revival of the old technique
Radiologists first described the removal of bile duct stones using balloon dilation in the early 1980s. Recently, there has been renewed interest in endoscopic balloon dilation with a small balloon to avoid the complications of endoscopic sphincterotomy (EST) in young patients undergoing laparoscopi...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2013-12, Vol.19 (45), p.8258-8268 |
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creator | Jeong, Seung Uk Moon, Sung-Hoon Kim, Myung-Hwan |
description | Radiologists first described the removal of bile duct stones using balloon dilation in the early 1980s. Recently, there has been renewed interest in endoscopic balloon dilation with a small balloon to avoid the complications of endoscopic sphincterotomy (EST) in young patients undergoing laparoscopic cholecystectomy. However, there is a disparity in using endoscopic balloon papillary dilation (EPBD) between the East and the West, depending on the origin of the studies. In the early 2000s, EST followed by endoscopic balloon dilation with a large balloon was introduced to treat large or difficult biliary stones. Endoscopic balloon dilation with a large balloon has generally been recognized as an effective and safe method, unlike EPBD. However, fatal complications have occurred in patients with endoscopic papillary large balloon dilation (EPLBD). The safety of endoscopic balloon dilation is still a debatable issue. Moreover, guidelines of indications and techniques have not been established in performing endoscopic balloon dilation with a small balloon or a large balloon. In this article, we discuss the issue of conventional and large balloon endoscopic dilation. We also suggest the indications and optimal techniques of EPBD and EPLBD. |
doi_str_mv | 10.3748/wjg.v19.i45.8258 |
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Recently, there has been renewed interest in endoscopic balloon dilation with a small balloon to avoid the complications of endoscopic sphincterotomy (EST) in young patients undergoing laparoscopic cholecystectomy. However, there is a disparity in using endoscopic balloon papillary dilation (EPBD) between the East and the West, depending on the origin of the studies. In the early 2000s, EST followed by endoscopic balloon dilation with a large balloon was introduced to treat large or difficult biliary stones. Endoscopic balloon dilation with a large balloon has generally been recognized as an effective and safe method, unlike EPBD. However, fatal complications have occurred in patients with endoscopic papillary large balloon dilation (EPLBD). The safety of endoscopic balloon dilation is still a debatable issue. Moreover, guidelines of indications and techniques have not been established in performing endoscopic balloon dilation with a small balloon or a large balloon. In this article, we discuss the issue of conventional and large balloon endoscopic dilation. We also suggest the indications and optimal techniques of EPBD and EPLBD.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v19.i45.8258</identifier><identifier>PMID: 24363517</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Co., Limited</publisher><subject>Cholelithiasis - therapy ; Dilatation ; Endoscopy, Digestive System - adverse effects ; Endoscopy, Digestive System - methods ; Humans ; Minireviews ; Patient Selection ; Risk Assessment ; Risk Factors ; Sphincterotomy, Endoscopic ; Treatment Outcome</subject><ispartof>World journal of gastroenterology : WJG, 2013-12, Vol.19 (45), p.8258-8268</ispartof><rights>2013 Baishideng Publishing Group Co., Limited. All rights reserved.</rights><rights>2013 Baishideng Publishing Group Co., Limited. All rights reserved. 2013</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-82dd5be1cf2c6423a5f6131a629065e31039c4c9ffae2aa98c161d5ea162ebc43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857449/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857449/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24363517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeong, Seung Uk</creatorcontrib><creatorcontrib>Moon, Sung-Hoon</creatorcontrib><creatorcontrib>Kim, Myung-Hwan</creatorcontrib><title>Endoscopic papillary balloon dilation: revival of the old technique</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>Radiologists first described the removal of bile duct stones using balloon dilation in the early 1980s. Recently, there has been renewed interest in endoscopic balloon dilation with a small balloon to avoid the complications of endoscopic sphincterotomy (EST) in young patients undergoing laparoscopic cholecystectomy. However, there is a disparity in using endoscopic balloon papillary dilation (EPBD) between the East and the West, depending on the origin of the studies. In the early 2000s, EST followed by endoscopic balloon dilation with a large balloon was introduced to treat large or difficult biliary stones. Endoscopic balloon dilation with a large balloon has generally been recognized as an effective and safe method, unlike EPBD. However, fatal complications have occurred in patients with endoscopic papillary large balloon dilation (EPLBD). The safety of endoscopic balloon dilation is still a debatable issue. Moreover, guidelines of indications and techniques have not been established in performing endoscopic balloon dilation with a small balloon or a large balloon. In this article, we discuss the issue of conventional and large balloon endoscopic dilation. We also suggest the indications and optimal techniques of EPBD and EPLBD.</description><subject>Cholelithiasis - therapy</subject><subject>Dilatation</subject><subject>Endoscopy, Digestive System - adverse effects</subject><subject>Endoscopy, Digestive System - methods</subject><subject>Humans</subject><subject>Minireviews</subject><subject>Patient Selection</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sphincterotomy, Endoscopic</subject><subject>Treatment Outcome</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkDtPwzAUhS0EoqWwMyGPLCl-J2ZAQlV5SJVYYLYcx2lduXGI0yD-Pa5aKpjucM8599wPgGuMpjRnxd3XejkdsJw6xqcF4cUJGBOCZUYKhk7BGCOUZ5KSfAQuYlwjRCjl5ByMCKOCcpyPwWzeVCGa0DoDW90673X3DUvtfQgNrJzXvQvNPezs4AbtYahhv7Iw-Ar21qwa97m1l-Cs1j7aq8OcgI-n-fvsJVu8Pb_OHheZoVL0WUGqipcWm5oYwQjVvBaYYi2IRIJbihGVhhlZ19oSrWVhsMAVtxoLYkvD6AQ87HPbbbmxlbFN32mv2s5tUmkVtFP_N41bqWUYFC14zphMAbeHgC6k3rFXGxeNTT83NmyjwkxKTJIUJSnaS00XYuxsfTyDkdqxV4m9SuxVYq927JPl5m-9o-EXNv0Bwk-Cww</recordid><startdate>20131207</startdate><enddate>20131207</enddate><creator>Jeong, Seung Uk</creator><creator>Moon, Sung-Hoon</creator><creator>Kim, Myung-Hwan</creator><general>Baishideng Publishing Group Co., Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131207</creationdate><title>Endoscopic papillary balloon dilation: revival of the old technique</title><author>Jeong, Seung Uk ; Moon, Sung-Hoon ; Kim, Myung-Hwan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-82dd5be1cf2c6423a5f6131a629065e31039c4c9ffae2aa98c161d5ea162ebc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cholelithiasis - therapy</topic><topic>Dilatation</topic><topic>Endoscopy, Digestive System - adverse effects</topic><topic>Endoscopy, Digestive System - methods</topic><topic>Humans</topic><topic>Minireviews</topic><topic>Patient Selection</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sphincterotomy, Endoscopic</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Jeong, Seung Uk</creatorcontrib><creatorcontrib>Moon, Sung-Hoon</creatorcontrib><creatorcontrib>Kim, Myung-Hwan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeong, Seung Uk</au><au>Moon, Sung-Hoon</au><au>Kim, Myung-Hwan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic papillary balloon dilation: revival of the old technique</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2013-12-07</date><risdate>2013</risdate><volume>19</volume><issue>45</issue><spage>8258</spage><epage>8268</epage><pages>8258-8268</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Radiologists first described the removal of bile duct stones using balloon dilation in the early 1980s. Recently, there has been renewed interest in endoscopic balloon dilation with a small balloon to avoid the complications of endoscopic sphincterotomy (EST) in young patients undergoing laparoscopic cholecystectomy. However, there is a disparity in using endoscopic balloon papillary dilation (EPBD) between the East and the West, depending on the origin of the studies. In the early 2000s, EST followed by endoscopic balloon dilation with a large balloon was introduced to treat large or difficult biliary stones. Endoscopic balloon dilation with a large balloon has generally been recognized as an effective and safe method, unlike EPBD. However, fatal complications have occurred in patients with endoscopic papillary large balloon dilation (EPLBD). The safety of endoscopic balloon dilation is still a debatable issue. Moreover, guidelines of indications and techniques have not been established in performing endoscopic balloon dilation with a small balloon or a large balloon. 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source | MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Cholelithiasis - therapy Dilatation Endoscopy, Digestive System - adverse effects Endoscopy, Digestive System - methods Humans Minireviews Patient Selection Risk Assessment Risk Factors Sphincterotomy, Endoscopic Treatment Outcome |
title | Endoscopic papillary balloon dilation: revival of the old technique |
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