Korean J Pancreas Biliary Tract.  2019 Oct;24(4):168-174. 10.15279/kpba.2019.24.4.168.

Endoscopic Sphincterotomy, Balloon Stone Extraction, and Basket Stone Extraction

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. aerojsi88@gmail.com

Abstract

Endoscopic sphincterotomy is performed after selective cannulation to remove the gallstone. Endoscopic sphincterotomy can cause complications such as bleeding, perforation and pancreatitis. Various types of endoscopic sphincter incision method and current generators used for incisions have been developed to reduce the incidence of such complications and increase the success rate of the procedure. In addition, guidelines for the direction and extent of endoscopic sphincterotomy and incision technique are established. The method used for the removal of gallstones after the endoscopic sphincterotomy is a method using a balloon and/or a basket. This review introduces the technical methods of endoscopic sphincterotomy and discusses the clinical indications and technical methods for representative methods of effective gallstone removal.

Keyword

Choledocholithiasis; Sphincterotomy, endoscopic; Ampulla of vater; Common bile duct
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