Endoscopic balloon sphincteroplasty (papillary dilation) for bile duct stones: Efficacy, safety, and follow-up in 100 patients

Selective sphincteroplasty of the papilla in cases at risk due to atypical anatomy

“…The incidence of pancreatitis was not related either to the number of calculi or to their size. We do not know whether these results are due to the use of the 10 mm hydrostatic balloon, as the previously mentioned data come from studies in which an 8 mm or smaller diameter balloon was used [22] . A recent study in Japan [23] showed that the effect of balloon dilation is associated with the temporary insertion of a stent into the pancreatic duct.…”

Small sphincterotomy combined with papillary dilation with large balloon permits retrieval of large stones without mechanical lithotripsy

“…e. . Mathuna et al [16] reported that the size of common bile duct stones to be extracted by EPD alone was smaller (mean size: �� mm) and observed that EPD alone was unsuccessful in clearing the bile duct in 1 or 2 sessions in 1��% of patients. �n the other hand, combining SES + EPLBD, the mean size of stones extracted in our study BD, the mean size of stones extracted in our study D, the mean size of stones extracted in our study increased to 20 mm without the need for mechanical without the need for mechanical the need for mechanical lithotripsy.…”

Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy

“…Endoscopic sphincterotomy (EST) is accepted as the standard management for stone removal from the bile duct, but it is associated with serious complications such as hemorrhage, pancreatitis, perforation, and recurrent infection of the bile duct, which cause permanent functional loss of the sphincter of Oddi [1][2][3][4] . Endoscopic papillary balloon dilation (EBD) was introduced by Staritz et al [5] and has been accepted widely as an alternative to EST [6][7][8][9][10] . It has similar outcomes for common bile duct stone removal compared to EST, and has the advantages over EST of preserving papillary sphincter function and causing minimal complications such as hemorrhage and perforation [11][12][13][14][15][16][17][18][19] .…”