caa a22 4500 445796987 CHVBK 20180317145128.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10620-010-1438-4 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1438-4 The Increase in Balloon Size to Over 15mm Does Not Affect the Development of Pancreatitis After Endoscopic Papillary Large Balloon Dilatation for Bile Duct Stone Removal [Elektronische Daten] [Young Youn, Hyun Lim, Jae Jahng, Sung Jang, Jung You, Jung Park, Se Lee, Dong Lee] Background: Endoscopic papillary large balloon dilatation (EPLBD) after endoscopic sphincterotomy (EST) has recently become widely used for common bile duct (CBD) stone removal, but many clinicians remain concerned about post-procedural pancreatitis with increasing the balloon size to over 15mm. Aims: We aimed to evaluate the safety and efficacy of EPLBD with a relatively large balloon (15-20mm) after EST and to evaluate the factors related to post-EPLBD pancreatitis. Methods: A retrospective review was undertaken of the endoscopic database of 101 patients with CBD stones who underwent EPLBD using a larger balloon size of over 15mm (15-20mm). Clinical parameters, endoscopic data, and outcomes were analyzed. Results: The mean age of the subjects was 69years. All patients had a dilated CBD of over 11mm (mean=22.6mm). The mean size of balloon used in EPLBD was 17.1±1.9mm (range 15-20mm). Mechanical lithotripsy was required in seven patients (6.9%). The rate of complete stone removal in the first session was 92.1%. Post-procedural pancreatitis developed in five cases (5.4%), but none were graded as severe. The smaller dilatation of the CBD, longer cannulation time, and longer time for stone removal were associated with post-procedural pancreatitis, but larger size of balloon did not affect the development of post-EPLBD pancreatitis. Conclusions: EPLBD with a large balloon of over 15mm with EST is an effective and safe procedure with a very low probability of severe post-procedural pancreatitis. Post-EPLBD pancreatitis was not associated with larger balloon size, but was associated with longer procedure time and smaller dilatation of the CBD. The Author(s), 2010 Common bile duct (CBD) stone nationallicence Endoscopic papillary large balloon dilatation (EPLBD) nationallicence Large balloon nationallicence Post-EPLBD pancreatitis nationallicence Youn Young Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Lim Hyun Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Jahng Jae Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Jang Sung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut You Jung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Park Jung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Lee Se Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Lee Dong Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1572-1577 0163-2116 56:5<1572 2011 56 10620 https://doi.org/10.1007/s10620-010-1438-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1438-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Youn Young Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Lim Hyun Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Jahng Jae Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Jang Sung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- You Jung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Park Jung Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Lee Se Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 700 1- Lee Dong Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonjuro, Gangnam-Gu, 135-720, Seoul, Korea aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1572-1577 0163-2116 56:5<1572 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer