Brief Article
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World J Gastroenterol. Nov 7, 2013; 19(41): 7168-7176
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7168
Endoscopic papillary large balloon dilation in patients with periampullary diverticula
Kook Hyun Kim, Tae Nyeun Kim
Kook Hyun Kim, Tae Nyeun Kim, Division of Gastroenterology and Hepatology, Department of Internal medicine, Yeungnam University College of Medicine, Daegu 705-717, South Korea
Author contributions: Kim TN designed the research and reviewed the paper; Kim KH analyzed the data, performed the study, and wrote the paper.
Supported by A Yeungnam University Research Grant in 2012
Correspondence to: Tae Nyeun Kim, MD, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, 317-1 Daemyung-dong, Nam-gu, Daegu 705-717, South Korea. tnkim@yu.ac.kr
Telephone: +82-53-620-3842 Fax: +82-53-654-8386
Received: July 8, 2013
Revised: August 14, 2013
Accepted: August 20, 2013
Published online: November 7, 2013
Core Tip

Core tip: Endoscopic papillary large balloon dilation (EPLBD) is a highly effective technique for treating difficult bile duct stones. However, the safety of EPLBD is of concern, especially in patients with periampullary diverticula (PAD). In the present study, the clinical outcomes and complications of EPLBD with limited endoscopic sphincterotomy (ES) (EPLBD + ES) and EPLBD alone according to the presence of PAD were not significantly different. We suggest that EPLBD + ES and EPLBD alone are safe and feasible modalities for large bile duct stone removal in patients with PAD. Furthermore, the presence of PAD was not found to affect therapeutic outcomes.