Optimising performance in sphincterotomy and sphincteroplasty
Adding sphincteroplasty to stone extraction procedures is becoming more common for the treatment of large stones in the bile duct. StoneMasterV combines the two steps of sphincterotomy and sphincteroplasty into one endoscopic device, saving time by eliminating the need for device exchange and simplifying stone management.
Difficult Biliary Stone Extraction
Current ESGE guidelines suggest performing endoscopic sphincterotomy followed by an endoscopic papillary large balloon dilation for the extraction of selected difficult biliary stones. This approach is considered to show similar post-ERCP pancreatitis rates, a lower bleeding and overall complications risk when compared to endoscopic sphincterotomy alone.*
*Dumonceau et al., “Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated June 2014”; Endoscopy 2014; 46: 799-815.