Endoscopic papillary large balloon dilatation (EPLBD) involves endoscopic biliary sphincterotomy (EBS) followed by
balloon dilatation using a 12–20-mm balloon to remove large or difficult stones from the common
A technique employed to gain access to the common bile duct when standard methods using catheters, cannulatomes,
and guidewires have failed.
A Klatskin tumor (or hilar cholangiocarcinoma) is a cholangiocarcinoma (cancer of the biliary tree) occurring at
the confluence of the right and left hepatic bile ducts. Because of their location, these tumors tend to become
symptomatic late in their development and therefore are not usually resectable at the time of presentation.
Cholangioscopy (Direct Visualization of the common bile duct) with directed biopsies for evaluation of common bile duct strictures and stones.
SpyGlass Direct Visualization System – Tallahassee Memorial HealthCare has expanded the capabilities of the
Endoscopy Center to include the SpyGlass Direct Visualization Cholangioscopy System, which gives physicians a more
accurate view to evaluate and diagnose gallstones, suspected malignancies, bile duct strictures and cystic lesions.
Hilar Stenting (Metal Stents)
EPLBD – Post Dilatation and Extraction
EPLBD – Endoscopic Papillary Large Balloon Dilatation
Spy Glass Cholangioscopy
Treatment of Pancreatic Leaks and Strictures with Pancreatic Stenting
Pancreatic sphincterotomy serves as the cornerstone of endoscopic therapy of the pancreas. In the appropriate setting,
it may be used as a single therapeutic maneuver, or in conjunction with other endoscopic techniques such as pancreatic
stone extraction or stent placement.
Appointment - Contact us at (850) 877-2105 or via the contact form to make an appointment to discuss your specific situation.
Pre EPLBD
ERCP can help to diagnose conditions of the liver, bile ducts, pancreas or gallbladder.
Pancreatic Stenting
Dr. Hardeep Singh, MD