PMID- 15307860
OWN - NLM
STAT- MEDLINE
DCOM- 20040917
LR  - 20121115
IS  - 0002-9270 (Print)
IS  - 0002-9270 (Linking)
VI  - 99
IP  - 8
DP  - 2004 Aug
TI  - To cut or stretch?
PG  - 1461-3
AB  - Endoscopic papillary balloon dilation (EPBD) offers an alternative to endoscopic 
      sphincterotomy (EST), which preserves the barrier function of the biliary 
      sphincter. However, reports of increased complications, especially pancreatitis, 
      have stalled the widespread adoption of this technique. A metaanalysis of 
      randomized trials of EPBD versus EST found similar overall complication rates 
      (10.5% vs 10.3%). However, while postprocedure bleeding was reduced with EPBD 
      compared to EST (0% vs 2.0%), the rate of postprocedure pancreatitis was higher 
      (7.4% vs 4.3%). In addition, 20% of EPBD cases required "rescue" EST. EPBD should 
      probably be reserved for special indications, such as uncorrected or anticipated 
      coagulopathy, and unfavorable endoscopic anatomy for EST.
CI  - Copyright 2004 American College of Gastroenterology
FAU - Gerke, Henning
AU  - Gerke H
FAU - Baillie, John
AU  - Baillie J
LA  - eng
PT  - Comment
PT  - Comparative Study
PT  - Editorial
PL  - United States
TA  - Am J Gastroenterol
JT  - The American journal of gastroenterology
JID - 0421030
SB  - IM
CON - Am J Gastroenterol. 2004 Aug;99(8):1455-60. PMID: 15307859
MH  - Ampulla of Vater
MH  - *Catheterization/adverse effects
MH  - Cholangiopancreatography, Endoscopic Retrograde/adverse effects
MH  - *Endoscopy, Digestive System/adverse effects
MH  - Gallstones/diagnosis/surgery/*therapy
MH  - Humans
MH  - Pancreatitis/etiology
MH  - Recurrence
MH  - *Sphincterotomy, Endoscopic/adverse effects
EDAT- 2004/08/17 10:00
MHDA- 2004/09/21 05:00
CRDT- 2004/08/17 10:00
PHST- 2004/08/17 10:00 [pubmed]
PHST- 2004/09/21 05:00 [medline]
PHST- 2004/08/17 10:00 [entrez]
AID - AJG40358 [pii]
AID - 10.1111/j.1572-0241.2004.40358.x [doi]
PST - ppublish
SO  - Am J Gastroenterol. 2004 Aug;99(8):1461-3. doi: 10.1111/j.1572-0241.2004.40358.x.