To cut or stretch?

Henning Gerke; John Baillie

doi:10.1111/j.1572-0241.2004.40358.x

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Journal article

Peer reviewed

To cut or stretch?

Henning Gerke and John Baillie

The American journal of gastroenterology, Vol.99(8), pp.1461-1463

08/2004

DOI: 10.1111/j.1572-0241.2004.40358.x

PMID: 15307860

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Abstract

Endoscopic papillary balloon dilation (EPBD) offers an alternative to endoscopic sphincterotomy (EST), which preserves the barrier function of the biliary sphincter. However, reports of increased complications, especially pancreatitis, have stalled the widespread adoption of this technique. A metaanalysis of randomized trials of EPBD versus EST found similar overall complication rates (10.5% vs 10.3%). However, while postprocedure bleeding was reduced with EPBD compared to EST (0% vs 2.0%), the rate of postprocedure pancreatitis was higher (7.4% vs 4.3%). In addition, 20% of EPBD cases required "rescue" EST. EPBD should probably be reserved for special indications, such as uncorrected or anticipated coagulopathy, and unfavorable endoscopic anatomy for EST.

Gallstones - diagnosis

Recurrence

Gallstones - surgery

Gallstones - therapy

Pancreatitis - etiology

Humans

Cholangiopancreatography, Endoscopic Retrograde - adverse effects

Catheterization - adverse effects

Sphincterotomy, Endoscopic - adverse effects

Ampulla of Vater

Endoscopy, Digestive System - adverse effects

Details

Title: Subtitle: To cut or stretch?
Creators: Henning Gerke
John Baillie
Resource Type: Journal article
Publication Details: The American journal of gastroenterology, Vol.99(8), pp.1461-1463
DOI: 10.1111/j.1572-0241.2004.40358.x
PMID: 15307860
ISSN: 0002-9270
eISSN: 1572-0241
Language: English
Date published: 08/2004
Academic Unit: Gastroenterology and Hepatology; Internal Medicine
Record Identifier: 9984094765102771

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