Endoscopic Papillary Balloon Dilation and Extraction of Bile Duct Stone
نویسنده
چکیده
Endoscopic therapy is the first line treatment for patients with common bile duct (CBD) stones. Removing bile duct stones by ERCP requires enlarging the papillary opening, either by cutting the biliary sphincter with an endoscopic sphincterotomy or by endoscopic papillary balloon dilation. Dilation has the advantage of sphincter preservation and a lower risk of hemorrhage but carries an increased risk of post-ERCP pancreatitis. Although popular in Asia in the Western world this technique is therefore reserved for patients with a major risk of bleeding or difficult anatomy. Here we demonstrate the technique of balloon dilation of the papillary sphincter in a patient with cholangiosepsis and septic coagulopathy.
منابع مشابه
Endoscopic Papillary Balloon Dilation with Large Balloon after Limited Sphincterotomy for Retrieval of Choledocholithiasis
Endoscopic papillary balloon dilation (EBD) for choledocholithiasis is known to be comparable to endoscopic sphincterotomy (EST) especially in cases of small stones. With larger stones, EBD with conventional balloon, which have a diameter of 6-8 mm, was reported as less effective for extraction of stones. We evaluated the efficacy and complications of EBD with large balloons (10-15 mm) after li...
متن کامل[Extraction of a big-sized common bile duct stone by means of biliary sphincterotomy followed by papillary dilatation with a hydrostatic balloon].
An 83-year-old woman was admitted because of colicky pain in the abdominal right upper quadrant and a cholestatic pattern in liver chemistry. Transcutaneous abdominal ultrasound showed a huge dilation of the extrahepatic bile duct. A distal common bile duct stone was also observed. An endoscopic retrograde cholangio-pancreatography (ERCP) was performed. Vater’s papilla was located in the right ...
متن کاملRole of endoscopic papillary balloon dilation in patients with recurrent bile duct stones after endoscopic sphincterotomy.
BACKGROUND Endoscopic sphincterotomy (ES) is an established treatment for patients with choledocholithiasis or common bile duct stones (CBDS), but further management of patients after ES with recurrent CBDS remains controversial. Endoscopic papillary large balloon dilation (EPLBD) has been used safely and effectively for stone removal in patients after ES with recurrent CBDS. The aim of this st...
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BACKGROUND Predictors for bile duct stone recurrence after endoscopic stone extraction have not yet been clearly defined and a study investigating naïve major duodenal papilla is warranted because studies focusing only on naïve major duodenal papilla are rare. The aim of this study was to observe the long-term outcomes of endoscopic bile duct stone extraction for naïve major duodenal papilla an...
متن کاملIs the Balloon Dilation Duration in Endoscopic Papillary Balloon Dilation (EPBD) Related to the Occurrence of Post-EPBD Pancreatitis?
papillary balloon dilation (EPBD) was proposed as an alternative to endoscopic sphincterotomy (EST) for opening the bile duct orifice to allow stone extraction with functional preservation of the biliary sphincter. Since its introduction in 1982, 1 EPBD has been widely performed because it is associated with lower bleeding and perforation risks compared to EST. 2-6 However, EPBD is more likely ...
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