Endoscopic papillary balloon dilation: Revival of the old technique

Figure 1 Endoscopic papillary balloon dilation with a small dilating balloon. A: Huge periampullary diverticulos were noted near the ampulla; B: The 8 mm sized small balloon is gradually inflated with diluted contrast material; inflation is maintained for 30 s; C: Fluoroscopy during balloon dilation shows complete disappearance of the sphincter waist; D: A common bile duct stone was removed by basket through the enlarged biliary orifice.

Figure 2 Endoscopic papillary large balloon dilation with minor sphincterotomy. A: A minor incision of up to one-third of the papilla was performed over a guidewire; B: The 15 mm sized large balloon is gradually inflated with diluted contrast material; inflation is maintained for 30 s; C: Fluoroscopy during balloon dilation shows complete disappearance of the sphincter waist; D: A large biliary orifice can be seen after balloon dilation.