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Post‐endoscopic retrograde cholangiopancreatography pancreatitis caused by papillary large‐balloon dilation of incidental intrapapillary fistula in R oux‐en‐ Y patients: L esson from a case
Author(s) -
Ishii Kentaro,
Itoi Takao,
Itokawa Fumihide,
Tsuchiya Takayoshi,
Sofuni Atsushi
Publication year - 2014
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12249
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , pancreatitis , balloon dilation , lithotripsy , common bile duct , fistula , bile duct , radiology , general surgery , surgery , balloon
Endoscopic papillary large‐balloon dilation ( EPLBD ) has been popular worldwide for difficult stones. At the primary stage, EPLBD is done immediately after endoscopic sphincterotomy ( ES ) or after previous ES . Recently, several endoscopists have reported the feasibility and safety of EPLBD without ES and post‐endoscopic retrograde cholangiopancreatography pancreatitis ( PEP ) as adverse events. Herein, we encountered a case of PEP in which EPLBD was carried out through a spontaneous fistula in the papillary roof, although there was no manipulation of the pancreatic duct. We learned a lesson from the present case in which possible PEP might occur during the procedure of EPLBD without ES .