Biliary Sphincter Balloon Dilation: Who, When and How?

Biliary sphincter balloon dilation for biliary stone removal was introduced in 1983. In the early 1990s, several groups studied this technique further. The success rate of stone removal is comparable with that of endoscopic sphincterotomy in patients with fewer than three stones that are less then 1...

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Main Author: K Huibregtse
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1999/975150
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author K Huibregtse
author_facet K Huibregtse
author_sort K Huibregtse
collection DOAJ
description Biliary sphincter balloon dilation for biliary stone removal was introduced in 1983. In the early 1990s, several groups studied this technique further. The success rate of stone removal is comparable with that of endoscopic sphincterotomy in patients with fewer than three stones that are less then 1 cm in diameter. Fewer complications after balloon dilation than after endoscopic sphincterotomy have been noted in most studies. One study, however, showed a higher incidence of pancreatitis and, in particular, severe pancreatitis. Therefore, there is still some reluctance among endoscopists to promote balloon dilation as a routine first choice treatment. The technique, however, is accepted as the treatment of choice in patients with a bleeding tendency and those in whom the local anatomy is associated with an increased risk of complications with endoscopic sphincterotomy, such as patients with periampullary diverticula or Billroth II gastrectomy.
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series Canadian Journal of Gastroenterology
spelling doaj-art-293dbc6a7e4f4c52a453c07f00c903882025-02-03T01:03:30ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-0113649950010.1155/1999/975150Biliary Sphincter Balloon Dilation: Who, When and How?K Huibregtse0Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsBiliary sphincter balloon dilation for biliary stone removal was introduced in 1983. In the early 1990s, several groups studied this technique further. The success rate of stone removal is comparable with that of endoscopic sphincterotomy in patients with fewer than three stones that are less then 1 cm in diameter. Fewer complications after balloon dilation than after endoscopic sphincterotomy have been noted in most studies. One study, however, showed a higher incidence of pancreatitis and, in particular, severe pancreatitis. Therefore, there is still some reluctance among endoscopists to promote balloon dilation as a routine first choice treatment. The technique, however, is accepted as the treatment of choice in patients with a bleeding tendency and those in whom the local anatomy is associated with an increased risk of complications with endoscopic sphincterotomy, such as patients with periampullary diverticula or Billroth II gastrectomy.http://dx.doi.org/10.1155/1999/975150
spellingShingle K Huibregtse
Biliary Sphincter Balloon Dilation: Who, When and How?
Canadian Journal of Gastroenterology
title Biliary Sphincter Balloon Dilation: Who, When and How?
title_full Biliary Sphincter Balloon Dilation: Who, When and How?
title_fullStr Biliary Sphincter Balloon Dilation: Who, When and How?
title_full_unstemmed Biliary Sphincter Balloon Dilation: Who, When and How?
title_short Biliary Sphincter Balloon Dilation: Who, When and How?
title_sort biliary sphincter balloon dilation who when and how
url http://dx.doi.org/10.1155/1999/975150
work_keys_str_mv AT khuibregtse biliarysphincterballoondilationwhowhenandhow