Premium
EARLY COMPLICATIONS OF ENDOSCOPIC SPHINCTEROTOMY FOR COMMON BILE DUCT STONES
Author(s) -
Imaizumi Hiroshi,
Kida Mitsuhiro,
Takezawa Miyoko,
Kikuchi Hidehiko,
Saigenji Katsunori
Publication year - 2007
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/j.1443-1661.2007.00710.x
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , major duodenal papilla , perforation , acute pancreatitis , common bile duct stone , common bile duct , pancreatitis , bile duct , ectasia , surgery , ampulla of vater , therapeutic endoscopy , general surgery , endoscopy , punching , materials science , carcinoma , metallurgy
Endoscopic sphincterotomy (EST) is the technique most commonly used to perform therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Recently, endoscopic papillary balloon dilatation (EPBD) has been frequently used at many hospitals instead of EST to perform procedures on the papilla. A key factor in the safe, successful outcome of therapeutic ERCP in patients with common bile duct (CBD) stones is the selection of the best‐suited procedure based on a thorough understanding of the characteristics of EST and EPBD. The most common early complications of EST are acute pancreatitis and papillary bleeding. Other complications include gastrointestinal perforation and biliary infections. However, whether EST increases the risk of acute pancreatitis remains controversial. The risk of bleeding can be decreased to some degree by the proper selection of patients, improved skills of operators, and the optimal use of peripheral devices. EST performed according to the recently developed endocut method can reduce the risk of bleeding.