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Updated: Jan 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
First use of a scoring balloon to perform Oddi sphincteroplasty for biliary stones
Andrea Coppola1, Filippo Piacentino1, Edoardo Macchi1
1Department of Diagnostic and Interventional Radiology, ASST Sette Laghi, University of Insubria, Varese (Andrea Coppola, Filippo Piacentino, Edoardo Macchi, Giuseppe De Marchi, Federico Fontana).
Abstract:
Balloon sphincteroplasty is a well-known procedure for the treatment of biliary stones. Scoring balloons are characterized by rigid tangential elements that provide focal force, achieving a greater pressure than normal balloons. We report the first (to our knowledge) use of a scoring balloon to perform sphincteroplasty in 4 cases of elderly people presenting with symptomatic choledocholithiasis. In all cases we achieved complete common bile duct clearing with good symptom relief. No procedural complications were observed.
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