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

Abstract

AIM:To analyze the indications, efficacy and safety of sphincteroplasty in our centre.

Sequential Endoscopic Papillary Balloon Dilatation Following Limited Sphincterotomy for Common Bile Duct Stones

“…Ersoz et al [13] were the first investigators to use sequential EST and EPBD using large-diameter balloons for sphincteroplasty. All of the studies on EPBD alone had used balloons of 8 and 10 mm in diameter, which obviously limited the extraction of large stones [18][19][20][21]. Ersoz et al chose 58 patients who had failed EST and stone extraction, and dilated the sphincter with 10-20-mm balloons.…”

Different Techniques for Management of Common Bile Duct Stones: A Single Centre Experience

“…Endoscopic sphincterotomy (ES) was the standard treatment of choledocholithiasis, but not exempt from risks such as bleeding, perforation and pancreatitis in an early phase (Miller et al, 1988;Sherman et al, 1991). In addition to complications derived from the loss of function of the sphincter of Oddi in a late phase, early complications incidence after sphincterotomy was 6%-10%, with a mortality of 1% (Mugica et al, 2007).…”

Endoscopic papillary balloon dilation for difficult common bile duct stones: Our experience

“…---Yes 25 1 13 However, EBD seems to have several advantages over ES. The function of the biliary sphincter is preserved after EBD, while it is permanently lost after ES [14] .…”

“…Choledocholithiasis is found in about 10%-15% of the adult population [1] . Since 1974, when Classen et al [2] and Kawai et al [3] introduced the endoscopic sphincterotomy (ES), this procedure has become the standard therapy for the treatment of various biliary diseases, especially common bile duct (CBD) stones.…”