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
Hauptverfasser: Jeong, Seung Uk, Moon, Sung-Hoon, Kim, Myung-Hwan
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container_issue 45
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container_title World journal of gastroenterology : WJG
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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.
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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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