©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2015; 7(3): 274-277
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.274
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.274
Endoscopic treatment of difficult extrahepatic bile duct stones, EPBD or EST: An anatomic view
Jun Ding, Fu Li, Hong-Yi Zhu, Xi-Wen Zhang, Department of bilio-pancreatic Surgery, Ren Ji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Author contributions: All authors contributed to this manuscript.
Conflict-of-interest: We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, and there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in this manuscript.
Correspondence to: Xi-Wen Zhang, MD, Department of bilio-pancreatic Surgery, Ren Ji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1630 Dong Fang Rd., Shanghai 200217, China. pipi000914@hotmail.com
Telephone: +86-21-58752345 Fax: +86-21-58394262
Received: August 27, 2014
Peer-review started: August 29, 2014
First decision: October 28, 2014
Revised: December 16, 2014
Accepted: January 9, 2015
Article in press: January 12, 2015
Published online: March 16, 2015
Processing time: 204 Days and 20.6 Hours
Peer-review started: August 29, 2014
First decision: October 28, 2014
Revised: December 16, 2014
Accepted: January 9, 2015
Article in press: January 12, 2015
Published online: March 16, 2015
Processing time: 204 Days and 20.6 Hours
Core Tip
Core tip: This review describes endoscopic sphincterotomy (EST), endoscopic papillary balloon dilation (EPBD) and limited EST + EPBD in the treatment of difficult bile duct stones. We analyze the advantages and disadvantages of these procedures from a unique anatomic view. Limited EST + EPBD may be the most reasonable procedure with the highest successful rate and the lowest incidence of complications.