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Endoscopic Papillary Balloon Dilation

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Biliopancreatic Endoscopy

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Abstract

Endoscopic papillary balloon dilation (EPBD) is an alternative to endoscopic sphincterotomy (EST) for removing bile duct stones. EPBD has several advantages over EST, including a negligible risk of bleeding, preservation of the function of sphincter of Oddi, and technical ease in altered or difficult anatomy. Compared with EST, EPBD preserves biliary sphincter function and thereby approximately halves long-term risk of recurrent choledocholithiasis. While some studies showed that EPBD had a higher risk of post-ERCP pancreatitis than EST, recent studies have indicated that the risk of pancreatitis is comparable with that of EST if the duration of dilation is longer than 1 min. Given the lower risk of bleeding and recurrent bile duct stones, the European Society of Gastrointestinal Endoscopy (ESGE) guideline suggests EPBD as an alternative to EST for removal of bile duct stones, especially in patients with coagulopathy or altered anatomy.

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Authors and Affiliations

  1. Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan

    Wei-Chih Liao M.D., Ph.D.

  2. Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan

    Wei-Chih Liao M.D., Ph.D.

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  1. Wei-Chih Liao M.D., Ph.D.
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Correspondence to Wei-Chih Liao M.D., Ph.D. .

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Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Kwok-Hung Lai

  2. Show-Chwan Health Care System, Chang-Hua, Taiwan

    Lein-Ray Mo

  3. Division of Gastroenterology, Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan

    Hsiu-Po Wang

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Liao, WC. (2018). Endoscopic Papillary Balloon Dilation. In: Lai, KH., Mo, LR., Wang, HP. (eds) Biliopancreatic Endoscopy. Springer, Singapore. https://doi.org/10.1007/978-981-10-4367-3_4

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  • DOI: https://doi.org/10.1007/978-981-10-4367-3_4

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4366-6

  • Online ISBN: 978-981-10-4367-3

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