Introduction: Bile duct stones constitutes 20% of symptomatic gallbladder disease and difficult stones are one third of this. Endoscopic papillary large balloon dilation (EPLBD) with or without prior endoscopic sphincterotomy (EST) produces excellent outcomes for the treatment of complex or difficult common bile duct (CBD) stones, alone or combined with previous therapeutic options as mechanical lithotripsy (ML) and temporary or definitive stenting. Objectives: Show success rate, complications and adverse events. Show that higher success rates are obtained combining ERCP techniques with no increase in complications. Materials and methods: We evaluated the safety and therapeutic outcomes of EPLBD with vs. without EST and other combinations for the removal of difficult bile duct stones. We described our procedures for a decade and compare them with the previous decade without balloo...

Reportamos nuestra experiencia de 10 años en procedimientos terapéuticos de la vía biliar (CPRE), describiendo los eventos adversos o complicaciones mayores y menores. Con descripción de posibles factores asociados, manejo, grupos etáreos y de riesgo. Comentamos también sobre las medidas a tomar para prevenirlos y tratarlos. Las complicaciones descritas son pancreatitis, perforacion, enfisema sub-cutáneo, neumoperitoneo, neumomediastino, neumotórax y excepcionalmente hematoma sub capsular hepático. Se reporta las indicaciones de los procedimientos. El total de complicaciones fué de 54 casos (3.98% de 1356 intervenciones). La Pancreatitis aguda PA fué la complicación más común con 39 casos(2.88% del total y 72% de las complicaciones) . El 79.49% de la PA fué leve. El 82% de la PA ocurre en mujeres. La mortalidad relacionada al procedimiento fué de 1 caso (0.007%).

Background: Detection and resection of colonic polypoid sessile and flat lesions, prevents the development of colon cancer. Endoscopic mucosal resection (EMR) has emerged in the 70´s and improved in the 80´s, as an alternative treatment of this lesions and is considered the procedure of choice nowadays, being able to avoid major surgical procedures. Objectives: Evaluation of the results and complications of the technique by endoscopists of a reference center. Review of indications and limitations of the technique. Material and methods: Descriptive, retrospective and observational analysis of patients treated with endoscopic mucosal resection technique at a referral center in Lima, Peru, between January 2004 and December 2018.EMR Technique was used in polypoid lesions greater than 1 cm. The bloc resection and the piecemeal resection technique was used for those lesions up to 3 cm and mo...

Background: Detection and resection of colonic polypoid sessile and flat lesions, prevents the development of colon cancer. Endoscopic mucosal resection (EMR) has emerged in the 70´s and improved in the 80´s, as an alternative treatment of this lesions and is considered the procedure of choice nowadays, being able to avoid major surgical procedures. Objectives: Evaluation of the results and complications of the technique by endoscopists of a reference center. Review of indications and limitations of the technique. Material and methods: Descriptive, retrospective and observational analysis of patients treated with endoscopic mucosal resection technique at a referral center in Lima, Peru, between January 2004 and December 2018.EMR Technique was used in polypoid lesions greater than 1 cm. The bloc resection and the piecemeal resection technique was used for those lesions up to 3 cm and mo...