| Theme | Current Treatment Strategies for Common Bile Duct Stones | |
|---|---|---|
| Title | Endoscopic Papillary Balloon Dilation (EPBD) for Management of Bile Duct Stones | |
| Publish Date | 2001/08 | |
| Author | Yutaka Komatsu | Department of Gastroenterology, JR Tokyo General Hospital |
| Author | Kenji Hirano | Department of Gastroenterology, JR Tokyo General Hospital |
| Author | Tetsuo Katamoto | Department of Gastroenterology, JR Tokyo General Hospital |
| Author | Naoki Sasahira | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Hiroyuki Isayama | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Minoru Tada | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Yasushi Shiratori | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Takao Kawabe | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Masao Omata | Department of Gastroenterology, School of Medicine, University of Tokyo |
| Author | Takeshi Tsujino | Department of Gastroenterology, Japanese Red Cross Medical Center |
| Author | Nobuo Toda | Department of Gastroenterology, Mitsui Memorial Hospital |
| Author | Tateo Kawase | Kanto Central Hospital |
| [ Summary ] | Endoscopic papillary balloon dilation (EPBD) has been accepted as a novel alternative to endoscopic sphincterotomy (EST). We have treated 474 patients with common bile duct stones, using EPBD, since May 1994. In conjunction with the usage of a mechanical or/and electrohydraulic lithotripter in 30% of the patients with large stones (>10mm in diameter), clearance of the common bile duct was achieved in 467 of 474 patients (99%). Clearance was achieved with the initial papillary dilation in 332 patients (70%). Pancreatitis occurred in 24 patients (5.1%) after the procedure. They were classified as mild in 18 patients, moderate in 5, and severe in 1. There was no mortality associated with this procedure. In this paper, we also illustrated techniques for safe EPBD. | |