Review
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World J Gastroenterol. Dec 14, 2013; 19(46): 8580-8594
Published online Dec 14, 2013. doi: 10.3748/wjg.v19.i46.8580
Endoscopic papillary large balloon dilation for the removal of bile duct stones
Jin Hong Kim, Min Jae Yang, Jae Chul Hwang, Byung Moo Yoo
Jin Hong Kim, Min Jae Yang, Jae Chul Hwang, Byung Moo Yoo, Department of Gastroenterology, Ajou University School of Medicine, Suwon 443-721, South Korea
Author contributions: Kim JH designed, reviewed the literature, collected data, wrote and revised the paper; Yang MJ prepared the tables of this review and performed statistical analyses; Hwang JC reviewed the literature, collected data, performed significant editing; Yoo BM prepared the first draft of this manuscript.
Correspondence to: Jin Hong Kim, MD, PhD, Department of Gastroenterology, Ajou University School of Medicine, San 5, Woncheon-dong, Youngtong-gu, Suwon 443-721, South Korea. jinhkim@ajou.ac.kr
Telephone: +82-31-2196937 Fax: +82-31-2195999
Received: August 27, 2013
Revised: October 14, 2013
Accepted: October 17, 2013
Published online: December 14, 2013
Core Tip

Core tip: We systematically analyzed all gathered data of endoscopic papillary large balloon dilation (EPLBD) with and without endoscopic sphincterotomy (EST), respectively, by using a single standardized definition, to evaluate their outcomes, reviewing relevant literatures. Thirty studies involving 2511 procedures of EPLBD with EST and 3 studies involving 413 procedures of EPLBD without EST were enrolled in this review. The results of EPLBD with or even without EST suggest that it is a safe and effective procedure for the removal of large or difficult bile duct stones without any additional risk of severe adverse events, when performed under appropriate guidelines.