Commentary
See article on page 686Can endoscopic papillary balloon dilation really preserve sphincter of Oddi function?
| The first 150 words of the full text of this article appear below. |
The technique of endoscopic balloon dilation of the major duodenal papilla with extraction of bile duct stones was first reported in 19821 but an unacceptably high rate of acute pancreatitis following the procedure impeded its acceptance until further reports in 19942 and 19953 reported its safety. A number of randomised controlled trials have demonstrated its effectiveness in clearing the bile ducts of stones compared with endoscopic sphincterotomy4-8 with variable short term complication rates similar to sphincterotomy. Currently, this technique has not become popular worldwide, but for reasons that are not clear has been adopted much more readily in Japan and Korea than elsewhere.
Those who advocate this technique over sphincterotomy do so on the
premise that: (1) it is less traumatic, (2) it is simpler to perform,
(3) it is as effective, (4) it avoids the immediate complications, such
as bleeding and perforation, (5) it is cheaper or at least
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- Can endoscopic papillary balloon dilation really preserve sphincter of Oddi function?
- I Yasuda, E Tomita, M Enya, T Kato, and H Moriwaki
Gut 2001 49: 686-691.[Abstract] [Full Text] [PDF]
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