Endoscopic papillary balloon dilation: Revival of the old technique

Table 4 Indications for endoscopic balloon dilation according to balloon diameter

	Small-balloon EPBD	Large-balloon EPBD
Absolute indication	Patients with coagulopathy and need for anticoagulation to avoid sphincterotomy-induced bleeding	No indication
Relative indication	Patients with anatomical abnormalities including gastric bypass surgery (Billroth II gastrectomy) or periampullary diverticulum	Patients with altered anatomy, such as gastric bypass surgery (Billroth II gastrectomy), periampullary diverticulum and prior biliary sphincterotomy
Possible indication	To preserve SO functions	To reduce the use of ML for removal of large CBD stonesTo avoid full EST-induced bleeding

SO: Sphincter of Oddi; EPBD: Endoscopic papillary balloon dilation; CBD: Common bile duct.