Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy

Shomei Ryozawa, Takao Itoi, Akio Katanuma, Yoshinobu Okabe, Hironari Kato, Jun Horaguchi, Naotaka Fujita, Kenjiro Yasuda, Toshio Tsuyuguchi, Kazuma Fujimoto

Research output: Contribution to journalArticlepeer-review

50 Citations (Scopus)


The Japan Gastroenterological Endoscopy Society (JGES) has recently compiled guidelines for endoscopic sphincterotomy (EST) using evidence-based methods. Content regarding actual clinical practice, including detailed endoscopic procedures, instruments, device types and usage, has already been published by the JGES postgraduate education committee in May 2015 and, thus, in these guidelines we avoided duplicating such content as much as possible. The guidelines do not address pancreatic sphincterotomy, endoscopic papillary balloon dilation (EPBD), and endoscopic papillary large balloon dilation (EPLBD). The guidelines for EPLBD are planned to be developed separately. The evidence level in this field is often low and, in many instances, strong recommendation has to be determined on the basis of expert consensus. At this point in time, the guidelines are divided into six items including indications, techniques, specific cases, adverse events, outcomes, and postoperative follow up.

Original languageEnglish
Pages (from-to)149-173
Number of pages25
JournalDigestive Endoscopy
Issue number2
Publication statusPublished - Mar 2018
Externally publishedYes


  • ERCP
  • EST
  • endoscopic retrograde cholangiopancreatography
  • endoscopic sphincterotomy
  • guideline

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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