
Comparison of endoscopic papillary balloon dilatation and endoscopic sphincterotomy for bile duct stones
Author(s) -
Yuji Sakai,
Toshio Tsuyuguchi,
Harutoshi Sugiyama,
Masahiro Hayashi,
Junichi Senoo,
Yuko Kusakabe,
Shin Yasui,
Rintaro Mikata,
Osamu Yokosuka
Publication year - 2016
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v8.i10.395
Subject(s) - medicine , bile duct , balloon dilatation , balloon , endoscopic treatment , major duodenal papilla , endoscopy , common bile duct , surgery , radiology , general surgery
Endoscopic treatment for bile duct stones is low-invasive and currently considered as the first choice of the treatment. For the treatment of bile duct stones, papillary treatment is necessary, and the treatments used at the time are broadly classified into two types; endoscopic papillary balloon dilatation where bile duct closing part is dilated with a balloon and endoscopic sphincterotomy (EST) where bile duct closing part is incised. Both procedures have advantages and disadvantages. Golden standard is EST, however, there are patients with difficulty for EST, thus we must select the procedure based on understanding of the characteristics of the procedure, and patient backgrounds.