Abstract
Since the introduction of endoscopic sphincter dilation (ESD) by Staritz et al., 1 Staritz M Ewe K zum Buschenfelde KH. Endoscopic papillary dilation (EPD) for the treatment of common bile duct stones and papillary stenosis. Endoscopy. 1983; 15: 197-198 Crossref PubMed Scopus (200) Google Scholar high success rates for bile duct stone extraction with relatively low complication rates have been documented in several clinical series. 2 May GR Cotton PB Edmunds SE Chong W. Removal of stones from the bile duct at ERCP without sphincterotomy. Gastrointest Endosc. 1993; 39: 749-754 Abstract Full Text PDF PubMed Scopus (110) Google Scholar , 3 MacMathuna P White P Clarke E Merriman R Lennon JR Crowe J. Endoscopic balloon sphincteroplasty (papillary dilation) for bile duct stones: efficacy, safety, and follow-up in 100 patients. Gastrointest Endosc. 1995; 42: 468-474 Abstract Full Text Full Text PDF PubMed Scopus (206) Google Scholar , 4 Minami A Nakatsu T Uchida N Hirabayashi S Fukuma H Morshed SA et al. Papillary dilation vs sphincterotomy in endoscopic removal of bile duct stones. A randomized trial with manometric function. Dig Dis Sci. 1995; 40: 2550-2554 Crossref PubMed Scopus (186) Google Scholar , 5 Bergman JJ Rauws EA Fockens P van Berkel AM Bossuyt PM Tijssen JG et al. Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones. Lancet. 1997; 349: 1124-1129 Abstract Full Text Full Text PDF PubMed Scopus (352) Google Scholar , 6 Komatsu Y Kawabe T Toda N Ohashi M Isayama M Tateishi K et al. Endoscopic papillary balloon dilation for the management of common bile duct stones: experience of 226 cases. Endoscopy. 1998; 30: 12-17 Crossref PubMed Scopus (171) Google Scholar , 7 Ochi Y Mukawa K Kiyosawa K Akamatsu T. Comparing the treatment outcomes of endoscopic papillary dilation and endoscopic sphincterotomy for removal of bile duct stones. J Gastroenterol Hepatol. 1999; 14: 90-96 Crossref PubMed Scopus (93) Google Scholar , 8 Ueno N Ozawa Y. Pancreatitis induced by endoscopic balloon sphincter dilation and the changes in serum amylase levels after the procedure. Gastrointest Endosc. 1999; 49: 472-476 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar However, concern has arisen regarding long-term outcome, particularly recurrence of biliary lithiasis. 9 Bergman JJ Tytgat GN Huibregtse K. Endoscopic dilation of the biliary sphincter for removal of bile duct stones: an overview of current indications and limitations. Scand J Gastroenterol. 1998; 33: 59-65 Google Scholar , 10 Ueno N Ozawa Y. Endoscopic sphincter dilation in patients with bile duct stones: immediate and medium-term results. J Gastroenterol Hepatol. 1999; 14: 828-832 Crossref Scopus (15) Google Scholar This study reports a patient who presented with frequent recurrence of bile duct stones after multiple ESD procedures. Issues of long-term success are discussed with this procedure and indications for ESD and other methods of extraction are compared.
Published Version
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