Sep 30, 2024 · Endoscopic balloon dilation of the biliary sphincter can be a valuable adjunct to the therapeutic arsenal of the biliary endoscopist for removal of bile duct stones during endoscopic retrograde cholangiopancreatography (ERCP) in highly selected patients.

Apr 12, 2024 · Endoscopic retrograde cholangiopancreatography (ERCP) confirms the diagnosis of choledocholithiasis, and ERCP-guided techniques (eg, endoscopic biliary sphincterotomy followed by stone removal with balloon catheters) are used to clear the common bile duct.

Pancreatobiliary endoscopic interventions using balloon‐assisted endoscopes have been widely acknowledged as the first‐line therapy for pancreatobiliary diseases in postoperative patients with reconstructed gastrointestinal anatomy (excluding the Billroth I procedure).

Endoscopic balloon papillary dilation or sphincteroplasty is a safe and effective alternative to sphincterotomy in the management of bile duct stones less than 12 mm; larger stones may require mechanical lithotripsy to facilitate duct clearance.

Two emerging endoscopic modalities have enabled the efficacious approach to the biliary system even in those with surgically altered anatomy: ERCP using a balloon-assisted endoscope (BE-ERCP) and EUS-guided antegrade treatment (EUS-AG).

Tips for successful ERCP in surgically altered anatomy. Understand the postsurgical anatomy, review the operative note and available imaging, and consider discussion with the surgeon. Determine the appropriate endoscope to use based on the anatomy and availability of local expertise (Table 4).

Since the introduction of endoscopic retrograde cholangiopancreatography (ERCP) over 40 years ago, our ability to tackle large common bile duct stones has continued to improve largely due to the use of various lithotripsy methods.

Sep 27, 2010 · Removing bile duct stones by ERCP requires enlarging the papillary opening, either by cutting the biliary sphincter with a endoscopic biliary sphincterotomy (EBS) or by endoscopic papillary balloon dilation (EPBD).

Balloon-assisted enteroscopy is a safe and feasible technique to obtain biliary or pancreatic access in patients with surgically altered anatomical configurations. The diagnostic and therapeutic potential of balloon-assisted ERCP is large, and could be further improved if customized accessories beco …

Jun 3, 2023 · For the management of benign biliary strictures, mechanical dilation using a balloon catheter or bougie dilator by ERCP is the first choice recommended by the Asia–Pacific Consensus Guidelines for the endoscopic management of benign biliary strictures and CJS is mainly treated by balloon dilation. Several studies have evaluated the ...