AIM To evaluate early and late outcomes of endoscopic papillary large balloon dilation (EPLBD) with minor endoscopic sphincterotomy (mEST) for stone removal. METHODS A total of 149 consecutive patients with difficult common bile duct (CBD) stones (diameter ≥ 10 mm or ≥ 3 stones) underwent conventional endoscopic sphincterotomy (EST) or mEST plus EPLBD from May 2012 to April 2016. Their demogr...

Objective: To ascertain the role of triamcinolone injection at base an anal fissure and its effect on healing pain relief. Methodology: A quasi-experimental study was conducted from November 2021 to February 2022. Under aseptic measures, a 1ml Triamcinolone 40mg/ml administered using 1cc insulin syringe. This injected in four positions around fissure. Patients were followed for one week assess ...

UNLABELLED The safety and efficacy of endoscopic sphincterotomy with large balloon dilation (EPLBD) are unclear. This study compares the safety and efficacy between EPLBD and endoscopic sphincterotomy (EST). PATIENTS AND METHODS Literatures were searched for randomized controlled trials in PUBMED, EMBASE, and Cochrane Library. Outcome measurements included adverse events; stone removal rate; ...

The American Society for Gastrointestinal Endoscopy the desired duct is essential in performing ERCP. Since (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, with a MEDLINE literature search to identify pertinent clinical studies on the topic, and a MAUDE (Fo...

OBJECTIVE This study compared the therapeutic benefits and complication rates of small endoscopic sphincterotomy plus large-balloon dilation (ESLBD) with those of endoscopic sphincterotomy (EST) alone for large bile duct stones. METHODS We compared prospectively ESLBD group (n=63) with conventional EST group (n=69) for the treatment of large bile duct stones (≥15mm). Mechanical lithotripsy wa...

omy is carried out for stones that are too big [1–7] and also in cases where the terminal bile ducts are too small [1,7]. It was first described in 2003 [1] and is different from balloon sphincteroplasty without sphincterotomy. Severe bleeding following the procedure has been reported only twice [2,3]. A 39-year-old man was referred for ultrasound as his jaundice had not improved 1 month after ...

The last two decades have seen a strong swing towards preservation of some of the sphincters of the alimentary tract, namely, the pyloric and anal sphincters, while at the same time there has been increasing "vandalism" of the sphincter at the distal end of the common bile duct. Endoscopic papillotomy, first introduced in 1974, is a very useful procedure in selected patients but too liberal use...

BACKGROUND Over the last few years, there has been increasing attention on surgical procedures to treat haemorrhoids. The Milligan-Morgan haemorrhoidectomy is still one of the most popular surgical treatments of haemorrhoids. The aim of the present work is to assess postoperative pain, together with other early and late complications, after Milligan-Morgan haemorrhoidectomy as we could observe ...

BACKGROUND Sphincter of Oddi manometry (SOM) is recommended in the evaluation of suspected Type II sphincter of Oddi dysfunction (SOD2), though its utility is uncertain. Little is known about the practice of expert endoscopists in the United States regarding SOD2. METHODS An anonymous electronic survey was distributed to 128 expert biliary endoscopists identified from U.S. advanced endoscopy ...