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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 16, 2015; 7(2): 77-86
Published online Feb 16, 2015. doi: 10.4253/wjge.v7.i2.77
Published online Feb 16, 2015. doi: 10.4253/wjge.v7.i2.77
Reappraisal of endoscopic papillary balloon dilation for the management of common bile duct stones
Kwok-Hung Lai, Hoi-Hung Chan, Tzung-Jiun Tsai, Jin-Shiung Cheng, Ping-I Hsu, Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan
Kwok-Hung Lai, Hoi-Hung Chan, Ping-I Hsu, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan
Author contributions: All the authors solely contributed to this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kwok-Hung Lai, Professor, Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung 813, Taiwan. khlai@vghks.gov.tw
Telephone: +886-7-3422121-2074 Fax: +886-7-5574361
Received: September 14, 2014
Peer-review started: September 20, 2014
First decision: October 14, 2014
Revised: October 30, 2014
Accepted: November 17, 2014
Article in press: November 19, 2014
Published online: February 16, 2015
Processing time: 150 Days and 12.5 Hours
Peer-review started: September 20, 2014
First decision: October 14, 2014
Revised: October 30, 2014
Accepted: November 17, 2014
Article in press: November 19, 2014
Published online: February 16, 2015
Processing time: 150 Days and 12.5 Hours
Core Tip
Core tip: Indication of endoscopic papillary balloon dilation is now extended from removal of small common bile duct stones to large or difficult stones by using large balloon. Balloon dilation itself is not the cause of pancreatitis. Avoidance of unnecessary pancreatic contrast injection, use the suitable balloon and pressure, slowly balloon inflation and adequate ballooning time to achieve a widely opened papillary orifice are the important steps to perform a safe endoscopic papillary large balloon dilation and successful clearance of bile duct.