Clinical Gastroenterology Vol.35 No.1(11)

Theme Endoscopic Practice Based on Guidelines
Title Guideline for Endoscopic Papillary Large Balloon Dilation (EPLBD)
Publish Date 2020/01
Author Ryosuke Tonozuka Department of Gastroenterology and Hepatology, Tokyo Medical University
Author Takayoshi Tsuchiya Department of Gastroenterology and Hepatology, Tokyo Medical University
Author Takao Itoi Department of Gastroenterology and Hepatology, Tokyo Medical University
[ Summary ] Recently, endoscopic papillary large balloon dilation (EPLBD) developed as a procedure of biliary stone removal using more than 12 mm in diameter for large or multiple stones. It has become widely used in the world after the many reports about the effectiveness of EPLBD. However, there have been no guidelines for safe and accurate use of EPLBD to date. Therefore, the Clinical Practice Guidelines for EPLBD was reported by Japan Gastroenterological Endoscopy Society (JGES) in 2017. The guidelines were divided into six sessions: (i) indications, (ii) procedures, (iii) special cases, (iv) procedure‒related adverse events, (v) treatment outcomes, and (vi) postoperative follow up observation with 21 clinical questions.
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