Endoscopic papillary large balloon dilatation with sphincterotomy is safe and effective for biliary stone removal independent of timing and size of sphincterotomy

Figure 1 Demonstration of endoscopic papillary large balloon dilatation. A: Fluoroscopic view showing balloon waist with a proximal stone; B: Endoscopic view of ampullary orifice while performing EPLBD; C: Demonstration of disappearance of balloon waist with gradual inflation of balloon.

Figure 2 Types of additional therapy to endoscopic papillary large balloon dilatation at index endoscopic retrograde cholangiopancreatography for stone extraction. ML: Mechanical lithotripsy; POC: Per-oral cholangioscopy; EHL: Electrohydraulic lithotripsy.

Figure 3 Types of endoscopic interventions at subsequent endoscopic retrograde cholangiopancreatography in those with failed duct clearance at index endoscopic retrograde cholangiopancreatography. EPLBD: Endoscopic papillary large balloon dilatation; ML: Mechanical lithotripsy; POC: Per-oral cholangioscopy; EHL: Electrohydraulic lithotripsy.