Clin Endosc.  2012 Sep;45(3):299-304.

Endoscopic Papillary Large Balloon Dilation: Guidelines for Pursuing Zero Mortality

• Lee DK
• Han JW

Abstract

Since endoscopic papillary large balloon dilation (EPLBD) is used to treat benign disease and as a substitute for conventional methods, such as endoscopic sphincterotomy plus endoscopic mechanical lithotripsy, we should aim for zero mortality. This review defines EPLBD and suggests guidelines for its use based on a review of published articles and our large-scale multicenter retrospective review.

Keyword

Endoscopic papillary large balloon dilation; Endoscopic sphincterotomy; Mechanical lithotripsy

MeSH Terms

Lithotripsy
Retrospective Studies
Sphincterotomy, Endoscopic

Figure

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  Fig. 1 (A) Distal common bile duct (CBD) shows a tapered end after full endoscopic sphincterotomy. (B) Large balloon inflation makes a square-shaped distal CBD and ampullary orifice for ease of stone passage.

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  Fig. 2 (A) Strong resistance and distinct notch during balloon inflation; definite presence of strong stricture in the common bile duct (CBD). (B) Balloon notch remains after application of 75% of the maximal inflation pressure. Further forcible inflation of the balloon can cause distal CBD perforation.

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