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Korean J Pancreas Biliary Tract > Volume 4(2):1999 > Article
The Korean Journal of Pancreas and Biliary Tract 1999;4(2):85-91.
담관결석 치료에 있어서 내시경적 유두부 발룬 확장술의 임상적 유용성
이진
한림대학교 의과대학 내과학교실
The Clinical Usefulness of the Endoscopic Balloon Dilatation for the Management of Bile Duct Stones
Jin Lee
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Corresponding author:  Jin Lee, Tel: 02-2639-5411, Fax: 02-676-7814 , 
ABSTRACT
Endoscopic balloon dilatation (EBD), new an alternative management of the bile duct stones, is a safe and effective sphincter reservation technique that significantly reduces the necessity for endoscopic sphincterotomy (EST). EBD might be more preferable than EST in the cases of below: first, the patients with "easy-to-treat": bile duct stones (diameter<10 mm, three or fewer stones), second, the high risk patients with large periampullary diverticulum, coaglation tendency and anatomical changes, third , younger patients, fourth, the patients who have no or weak chronic bile duct inflammation. The studies are required to evaluate results of long-term follow-up.
Keywords: Endoscopic balloon dilatation, Endoscopic sphincterotomy, Bile duct stone
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