ASGE International Sampler (On-Demand)-ERCP - Balloon Sphincteroplasty: With and Without Biliary Sphincterotomy: Is there any danger?

ERCP - Balloon Sphincteroplasty: With and Without Biliary Sphincterotomy: Is there any danger?

Video Transcription

Video Summary

In this pre-recorded video, Takao Itoi, a renowned speaker and expert in ERCP and therapeutic endoscopic ultrasound, gives a presentation on balloon sphincteroplasty with and without biliary sphincterotomy. He explains the development of endoscopic sphincterotomy (EST) and the introduction of large balloon dilation (EPLBD). He discusses the benefits and risks associated with both procedures and compares their effectiveness and safety. He presents several case studies showcasing the use of small and large balloon dilation in different situations, emphasizing the importance of proper technique to avoid adverse events. He concludes that conventional EPLBD may lead to post-ERCP pancreatitis, while large balloon dilation alone is a safe and acceptable alternative. He also suggests that minimal EST followed by small balloon dilation may be a better technique for non-difficult stone cases. Overall, Takao Itoi highlights the importance of carefully considering the choice of procedure and technique to ensure patient safety.

Asset Subtitle

Takao Itoi, MD, FASGE

Keywords

Takao Itoi

ERCP

therapeutic endoscopic ultrasound

balloon sphincteroplasty

biliary sphincterotomy