Abstract
Usefulness and safety of Endoscopic Pancreatic Duct Balloon Dilation（EPDBD）for treatment of pancreatic diseases- pancreatic stone, divisum and pseudocyst
Highlights
Balloon dilation of choledochus is a popular procedure for bile duct stone treatment
We expanded the indication to non-calcified divisum and non-calcified pseudocyst complicated with narrow duct
We would like to point out the indications and precise method of this treatment as well as its limitations
Summary
Balloon dilation of choledochus is a popular procedure for bile duct stone treatment. The balloon was inserted into the pancreatic duct and dilation of orifice and narrow portion of the duct was done. We expanded the indication to non-calcified divisum and non-calcified pseudocyst complicated with narrow duct. (via major papilla 445 cases, via minor papilla 93 cases) The purpose of EPDBD in pancreatic disease is shown in table 1. EPDBD is normally performed after EPST of major papilla, but when the Wirsung duct is markedly bent or constricted due to inflammation, or in cases of stone impaction in Wirsung duct, in cases of divisum (complete, incomplete), treatment was performed via the minor papilla. Tsuji T (2017) Usefulness and safety of Endoscopic Pancreatic Duct Balloon Dilation (EPDBD) for treatment of pancreatic diseases- pancreatic stone, divisum and pseudocyst
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