BACKGROUND/PURPOSE While endoscopic sphincterotomy (EST) is performed worldwide for the removal of common bile duct stones, many biliary endoscopists hesitate to regard endoscopic papillary balloon dilation (EPBD) as a standard procedure for treatment. Therefore, the aim of this review is to re-evaluate the status of EPBD for the treatment of common bile duct stones. RESULTS A major benefit o...

due to early satiety and indigestion. He had had peptic ulcer disease for several years and had received proton pump inhibitor (PPI) therapy for a prolonged period at another center without satisfactory outcome. Endoscopic examination revealed a narrowed pyloric channel that precluded passage of a scope (●" Fig. 1a). Urea breath test result was negative, proving that previous Helicobacter pylor...

We describe a 66-year-old Caucasian man with type 1 Mirizzi syndrome diagnosed on endoscopic ultrasound. He presented with acute onset of jaundice, malaise, dark urine over 3-4 days, and was found to have obstructive jaundice on lab testing. CT scan of the abdomen showed intrahepatic biliary ductal dilation, a 1.5 cm common bile duct (CBD) above the pancreas, and possible stones in the CBD, but...

Benign anastomotic strictures can occur in up to 22% of patients who undergo colonic or rectal resection. Traditionally, surgery was the preferred method of treatment, but, over time, endoscopic techniques, such as balloon dilation, have become the preferred modality. However, a high stricture recurrence rate of up to 18-20% and the increased risk of perforation due to uncontrolled stretching a...

Crohn's disease (CD) can be complicated by development of intestinal strictures with or without manifest obstructive symptoms. Often intestinal resection is the operation of choice for CD limited to the ileocecal region but a significant percentage of patients develop disease recurrence in the anastomotic site, resulting in strictures which can be symptomatic (40% at 4 years)1 and have a reoper...

Background and AimsPercutaneous gallbladder drainage has traditionally been the reference standard treatment for cholecystitis in patients deemed unfit surgery. Endoscopic transpapillary emerged as a reliable alternative that offers an internal, incisionless option nonsurgical patients. The aim of this study was to describe techniques successful selective cystic duct cannulation during ERCP.Met...

achalasia is a primary motor disorder of the esophagus, in which esophageal emptying is impaired. diagnosis of achalasia is based on clinical findings and confirmed by radiologic, endoscopic and manometric evaluations. several treatments for achalasia have been introduced. we searched the pubmed database for original articles and meta-analyses about achalasia to summarize the current knowledge ...

Colorectal or colocolic anastomotic stricture is a common complication after colorectal surgery. Traditionally, endoscopic balloon dilation technique was used for those patients with symptomatic stricture. The use of electroincision (radial incisions of the scar) along with pneumatic balloon dilation was reported with good result in literature. We present a novel method for relieving colorectal...

A 57-year-old female with intrahepatic cholangiocarcinoma underwent hepatic trisegmentectomy and chemoradiation. Her course was complicated by recurrent episodes of radiation-induced gastric outlet obstruction requiring balloon dilations. She presented with right lower quadrant pain after routine upper endoscopy with pyloric dilation. A computed tomography (CT) showed isolated right-sided ische...