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Endoscopic papillary balloon dilation for stone extraction: if, when, and for how long?

机译：内窥镜乳头球囊扩张术以提取结石：是否，何时以及持续多长时间？

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Just when we thought an issue related to everyday ERCP was resolved, new approaches and data emerge to make us rethink the best approach. Because removal of common bile duct stones is so commonly performed, any small improvement could have widespread impact. Thus, the issue of the most effective and safest way to remove bile duct stones still bears reexamination.Removing bile duct stones by ERCP requires enlarging the papillary opening, either by cutting the biliary sphincter with a endoscopic biliary sphincterotomy (EBS) or by endoscopic papillary balloon dilation (EPBD). Both of these techniques are associated with some risk of complications, including pancreatitis, perforation, and bleeding.EBS has become a very widely performed procedure since it was first described in 1974.
机译：当我们认为与日常ERCP相关的问题得到解决时，新的方法和数据应运而生，使我们重新思考最佳方法。因为去除胆总管结石非常普遍，所以任何小的改进都会产生广泛的影响。因此，最有效，最安全的去除胆管结石的方法仍需重新检查。通过ERCP去除胆管结石需要扩大乳头开口，方法是通过内镜下胆道括约肌切开术（EBS）切除胆道括约肌或通过内镜下乳头镜球囊扩张（EPBD）。这两种技术都伴有并发症的风险，包括胰腺炎，穿孔和出血。自1974年首次描述以来，EBS已成为执行非常广泛的程序。

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