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COMPLICATIONS AND RISK MANAGEMENT OF ENDOSCOPIC PAPILLARY BALLOON DILATATION
Author(s) -
Katanuma Akio,
Maguchi Hiroyuki,
Osanai Manabu,
Takahashi Kuniyuki
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.1443-1661.2007.00731.x
Subject(s) - medicine , pancreatitis , major duodenal papilla , balloon dilatation , balloon , bile duct , common bile duct stone , balloon dilation , common bile duct , surgery , general surgery
Endoscopic papillary balloon dilatation (EPBD) was reported as a less invasive treatment for bile duct stone. It has advantages of reduced risk of bleeding and preserved papillary function, compared with endoscopic sphincterotomy (EST). However, recurrence of stone has not been elucidated as yet. The problem of EPBD is the high incidence of post‐procedure pancreatitis. Reported as risk factors of the pancreatitis are pancreatography, past history of pancreatitis, difficult bile duct cannulation, excessive pressure to the papilla etc. Appropriate measures to prevent post‐EPBD pancreatitis are therefore indispensable.