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World J Gastroenterol. Dec 7, 2013; 19(45): 8258-8268
Published online Dec 7, 2013. doi: 10.3748/wjg.v19.i45.8258
Endoscopic papillary balloon dilation: Revival of the old technique
Seung Uk Jeong, Sung-Hoon Moon, Myung-Hwan Kim
Seung Uk Jeong, Department of Internal Medicine, Jeju National University School of Medicine, Jeju 690-767, South Korea
Sung-Hoon Moon, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 431-070, South Korea
Myung-Hwan Kim, Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, South Korea
Author contributions: Jeong SU and Kim MH designed the format; Jeong SU and Moon SH performed the literature search and wrote the paper; Kim MH reviewed the article and provided critical appraisal.
Correspondence to: Myung-Hwan Kim, MD, PhD, Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbyeongwon-gil, Songpa-Gu, Seoul 138-736, South Korea.
Telephone: +82-2-30103183 Fax: +82-2-4760824
Received: August 26, 2013
Revised: September 18, 2013
Accepted: September 29, 2013
Published online: December 7, 2013
Core Tip

Core tip: Endoscopic papillary dilation with a dilating balloon is technically simple and effective. However, there is still debate regarding safety, and there is no guideline or consensus of detailed techniques. Because the procedure is performed to treat a common benign condition, it is important to ensure that there are no lethal procedure-related complications. It, however, can lead to potential morbidity and even death. As the foremost priority is patient safety, it should be performed with appropriate techniques in selected patients. Therefore, we suggest the optimal indications and tips for avoiding severe complications of endoscopic papillary balloon dilation with a small balloon or a large balloon.